As payers continue to alter reimbursement models for out-of-network care, providers must meet this uncertainty with diligent payer negotiations to ensure maximum repayment.
ASC Coding, Billing & Collections
The healthcare industry's shift toward lower reimbursement rates and increased patient responsibility threatens organizations' budgets and resources, according to Merideth Wilson, Experian Health's vice president of revenue cycle solutions.
With insurance coverage shrinking and healthcare costs on the rise, patients are being asked to shoulder more of the burden.
Aetna realigned its business segments ahead of its planned $69 billion acquisition by CVS.
With North Carolina transitioning from a fee-for-service model to Medicaid managed care plans in 2019, a partnership has emerged between MeridianHealth and Community Care Physician Network.
Here are 25 statistics on ASC payer mix as a percent of collections from VMG Health's Multi-Specialty ASC Intellimarker 2018.
A new California bill would allow the state to set prices for hospital stays, physician visits and other healthcare procedures covered by commercial insurers, the LA Times reports.
Here are 30 statistics on ASC payer mix as a percent of cases from VMG Health's Multi-Specialty ASC Intellimarker 2018.
The DOJ is targeting hospitals and health systems for performing outpatient procedures in the inpatient setting, where they can charge a higher rate.
The Alabama Department of Labor revised the 2018 workers' compensation fee schedule for ASCs.
