ASC Coding, Billing & Collections

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.

The Medicare Payment Advisory Commission made two ASC-specific recommendations to Congress in its March 2018 report: that Medicare payment rates remain the same in 2019 and cost reporting be mandatory for participation in the Medicare program.

National Medical Billing Services launched five technologies and service offerings for ASCs in response to client demand.

Acrometis is partnering with PriceMDs to contain the cost of surgical procedures.

Humana more than doubled the number of states where it offers a bundled payment program for Medicare Advantage members undergoing total hip or knee joint replacement procedures. The model is now available in about 40 provider locations in 13 states.

Billing mistakes are a common source of revenue decline for practices, according to Fi-Med Co-founder and CEO Adrian Velasquez. Fi-Med is a Wauwatosa, Wis.-based predictive analytics provider. 

CMS updated its 2018 Merit-based Incentive Payment Systems web-based tool to help physicians check their eligibility for 2018, AAFP reports.