ASC Coding, Billing & Collections

Operating performance among health insurance and managed care companies is expected to remain "fairly stable" in 2019, according to Fitch Ratings.

Patients are on thin ice this time of year. Here are 12 ICD-10 codes physicians might see during the holiday season:

It's critical for ASCs to handle managed care contracts properly, but doing so can be challenging, according to Westchester, Ill.-based Regent Surgical Health Vice President of Managed Care, Andrea Woodell.

CMS' 2019 final payment rule for ASCs and hospital outpatient surgery departments included a new code allowing separate payments to ASCs that use Pacira Pharmaceuticals' non-opioid pain management drug, Exparel.

Following months of termination threats and legal disputes between the two companies, Minnetonka, Minn.-based UnitedHealthcare agreed to extend its nationwide payer contract with Nashville, Tenn.-based Envision (AmSurg) Healthcare.

Elkton, Md.-based physician Zahid Aslam, MD, pleaded guilty Nov. 30 to making a materially false statement in a loan application, and a medical business he owned pleaded guilty to one count of healthcare fraud.

Billing mistakes can affect a surgery center's bottom line, according to Regent Revenue Cycle Management:

U.S. House Representative Daniel Lipinski, D-Ill., introduced a bill called the "Hospital Price Transparency and Disclosure Act of 2018" July 25.

The prices of common outpatient and inpatient procedures at every Oregon hospital are now available online, KTVZ.com reports.

ASCs have an inherent value proposition when negotiating new contracts or renegotiating existing contracts, according to Healthcents CEO Steve Selbst.