ASC Coding, Billing & Collections

CMS made sweeping changes to ACA rules that added exemptions from coverage requirements and shifted control to states, the government announced in a final notice issued March 9. The rules will take effect for ACA health plans sold this fall…

UnitedHealthcare will terminate its contract with Envision Healthcare and Envision subsidiaries, effective no later than Jan. 1, 2019, according to a court filing.

Researchers who examined claim denial rates for various payers estimated the healthcare sector deals with $11 billion in challenged revenue each year, but the number could be as high as $54 billion.

Two major Michigan health insurers are rolling out bundled payments for hip and knee replacements, Crain's Detroit Business reports.

PriceMDs expanded its surgery cost containment product to include worker's compensation cases.

Dallas-based Surgical Funds launched its services as a flexible patient financing solution for ASCs. The company aims to provide healthcare consumers access to financing for surgical procedures.

Here are 16 companies that provide revenue cycle management solutions, services and financing options to ASCs and their patients.

CMS determines reimbursement rates for hospital outpatient departments and ASCs using two different measures of inflation, resulting in significant cost differentials.

Documentation is the most important part of coding and billing, according to Alliance Medibilling CEO Annette Bolcato. She said the majority of denied claims her company sees are a result of insufficient documentation.

Blue Cross Blue Shield of Michigan reversed its decision to stop covering knee arthritis injections as it reviews their effectiveness, the Detroit Free Press reports.