ASC Coding, Billing & Collections

Ivana Saninocencio, the founder and CEO of Dracut, Mass.-based Prime Billing Solutions, has worked in the medical billing and coding field for over 10 years. Having worked with multiple different medical specialties in 22 different states, she drew on her…

As ASCs face an increasingly challenging reimbursement environment, more providers are doubling down on out-of-network strategies to maximize on collections opportunities. 

The medical billing outsourcing market has grown rapidly in the past several years, and this rise is expected to continue through 2023, according to a Transparency Market Research Report. Here are nine highlights from the report:

KLAS Research named Beverly, Mass.-based Oxford Global Resources a top resource for outsourced coding in The 2018 Best in KLAS: Software & Services report. Here are five insights:

Anthem recently made a policy change that claimed monitored anesthesia care during routine cataract surgery was not medically necessary, YubaNet.com reports.

Nearly 12,000 respondents participated in the American Academy of Professional Coders’ 2017 salary survey, which showed an overall increase in average salary and a slight decrease in unemployment from 2016. Here are six key insights:

CMS expanded its 2017 Merit-based Incentive Payment System data reporting exemption for healthcare professionals practicing in areas hit by hurricanes and wildfires, Medscape reports. 

A proposed bill from New Jersey lawmakers that would protect patients from unexpected healthcare charges is being opposed by physicians, who view it as a partial fix, NJ Spotlight reports.

Here are 10 states where the most people enrolled in health insurance plans on the marketplace from 2014 to 2018, according to data from the Kaiser Family Foundation.

Maximizing claim reimbursements becomes more challenging every year. As the insurance market continues to transition to cost conscious care, ASCs are confronted with changes that add complexity to their front desk procedures, billings, and collections. Because these developments will continue…