ASC Coding, Billing & Collections

Out-of-network is complex. With the right approach, however, providers can significantly improve reimbursement rates, financial results, and the bottom-line.

Sioux Falls, S.D.-based Sanford Health filed a lawsuit against the federal government, claiming officials owe Sanford approximately $9 million in risk-corridor payments, the Argus Leader reports.

More health plans are participating in value-based contracts with physicians, according to Geneia.

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.