ASC Coding, Billing & Collections

The shift to value-based care involves financial incentives for anesthesia practices that could conflict with existing fraud and abuse laws, such as Stark law, according to a Jan. 24 report from law firm Whiteford in JDSupra.

Many physicians and practices say prior authorization is a major administrative burden and have urged lawmakers to institute reforms to the process for commercial and public payers.

A Jan. 26 report published in Forbes examines two new studies regarding how financial incentives affect surgeons' real-time decision-making. 

Picture this: a skilled surgeon has decades of experience in their specialist field and a long track record of making the crucial decisions that save lives. But they’re heading into surgery without a full patient history or anywhere near an…

Ambulatory surgery centers (ASCs) have diverse processes to navigate, from front-end tasks such as collecting demographic information and verifying insurance, to coding and billing compliance in an ever-changing regulatory environment. In the complex world of surgical revenue cycle management (RCM),…

House Republicans have proposed sweeping changes to healthcare policies and other federal programs, marking a significant shift in priorities under President Donald Trump. 

Many ASCs across the U.S. are seeing patient copays increase for outpatient surgery, and collecting upfront from patients is tough. But it's necessary to keep the ASC running smoothly.

On Nov. 1, CMS finalized a 2.83% physician pay cut for its 2025 Medicare hospital outpatient prospective payment system and ASC payment system, marking the fifth consecutive year of cuts to physician reimbursements. 

Here are what three ASC leaders told Becker's they see coming down the pipeline as procedures continue to migrate from the hospital to ASC setting in 2025.

The healthcare industry is entering a transformative era as major legal and regulatory frameworks, including the Stark Law, face significant updates and reinterpretations.