ASC Coding, Billing & Collections

A Fairhope, Ala.-based pain management physician who pled guilty to healthcare fraud and unlawful distribution of a controlled substance will be asked to pay over $14.7 million in restitution to the companies he defrauded, AL.com reports.

There is justifiably a lot of excitement regarding the launch of Bundled Payments for Care Improvement Advanced (BPCI Advanced).

Anthem Blue Cross Blue Shield won't proceed with a policy that would have slashed reimbursement rates for evaluation and management services billed with modifier 25 by 50 percent. Here are four insights.

Medicaid providers repaid 9.6 percent of the $19.7 million owed to the state as of November 2017, according to a report by Ohio Auditor Dave Yost. Here are four insights.

In late 2017, Atlanta-based Navicure bought Louisville, Ky.-based claims management firm ZirMed for a reported $750 million. Matt Hawkins, the newly named CEO of the combined company Waystar hopes to make new hires in the coming years, WDRB.com reports.

Medtronic and Allentown, Pa.-based Lehigh Valley Health Network entered into a five-year partnership to cut costs and improve outcomes for more than 70 conditions using Medtronic's equipment, CNBC reports.

A surgeon-designed app for postoperative documentation was added to the Epic App Orchard, an app store Epic Systems launched in 2017 for applications compatible with its EMR infrastructure. Here are five highlights.

North Carolina Medicaid expenditures were nearly $6.5 billion at the halfway point of fiscal year 2018, the Winston-Salem Journal reports. Here are six insights.

University of Utah Professor Robert Pendleton, MD, wrote a column for Harvard Business Review seeking to define value.

Alphabet's healthcare arm Verily is in the midst of weighing whether to enter the population health arena through a partnership with a payer, CNBC reports.