ASC Coding, Billing & Collections

Despite many party members seeking a complete ACA repeal, various House Republicans are defending parts of the ACA, The Hill reports.

Former Medicare-Medicaid Coordination Office Director Melanie Bella said if officials overhaul the Medicaid program, this move will greatly impact Medicare beneficiaries. Ms. Bella discussed an overhaul's impact during a briefing that National Coalition on Health Care, a nonpartisan organization, hosted…

In an article, the American Medical Association argued the federal appeals court overseeing the potential merger between Indianapolis-based Anthem and Bloomfield, Conn.-based Cigna should uphold the trial court's decision.

New regulations and forms governing the internal appeals and arbitration process for New Jersey PIP go into effect on April 17, notes Jeff Shanton, Vice President of NJAASC.

An S&P Global Ratings report found the ACA marketplace may fare better in 2018, with analysts excepting Chicago-based Blue Cross Blue Shield plans to breakeven in 2017, according to The Fiscal Times.

Oklahoma City-based Surgery Center of Oklahoma Founder Keith Smith, MD, detailed his surgery center's price transparency strategy in an interview with Business Insider.

Republicans issued an amendment to their replacement plan that would give payers $15 billion over the next nine years to help cover high-cost patients, according to The Hill.

Santa Monica, Calif.-based RAND Corp. researchers predict Medicare spending on physicians services could fall up to $35 billion with hospital service spending increase as a result of MACRA, Health Affairs reports.

After finalizing its 2018 payment and policy updates for Medicare Health and Drug Plans, CMS expects payers could see a 2.95 percent increase in Medicare Advantage revenues.

An editorial by PharmExec.com editors, says United States-based healthcare executives are not interested in expanding patient-reported outcome measures. Executives are skeptical of health economics and outcomes researchers that drug manufacturers pay to conduct studies, according to a report by Burlington,…