ASC Coding, Billing & Collections

Narrow networks, bundled payments and consumer demand for price transparency are affecting reimbursement. It is critical to understand these rapidly emerging concepts, otherwise, surgery centers may be missing opportunities to optimize payment and enhance their bottom line. 

Reimbursement cuts are driving many planners to convert vascular access centers into Medicare-certified ASCs to expand their offering, according to Nephrology News and Issues.

Researchers conducted a study to assess whether fix-amount fee schedules or percent-of-charge-based fee regulations impacted hospital outpatient payments per surgical episode.

Health Affairs published a study conducted by Leavitt Partners and the Accountable Care Learning Collaborative documenting the growth and spread of ACOs and alternative payment models.

A joint report from KPMG and the American Medical Association claimed less than one out of four physicians are "well prepared" for the Medicare Access and CHIP Reauthorization Act of 2015, HITConsultant.net reports.

The Congressional Budget Office released a report analyzing private-sector pricing for physicians claiming these physicians charge commercial payers higher rates than the government, Twin Cities Business reports.

In a healthcare landscape rife with dwindling commercial and government payer reimbursement, one of the last remaining opportunities for ASCs to improve their bottom line is developing a successful out-of-network strategy.

Senate Majority Leader Mitch McConnell, R-Ky., delayed a potential vote on the Senate healthcare bill until after the July 4 recess, CNN reports.

A recent Front Line report found most physicians are not sold on value-based models' ability to yield superior clinical outcomes.

A new NPR/PBS NewsHour/Marist poll found most Americans do not approve of the Senate GOP's healthcare bill, the Better Care Reconciliation Act.