ASC Coding, Billing & Collections

UC San Diego researchers found current diagnostic coding trends for patient risk scores will cause Medicare to overpay Medicare Advantage plans through 2026 by an estimated $200 billion.

U.S. District Judge Lynn Hughes awarded Aetna $51.4 million in a seven-year court battle against Humble (Texas) Surgical Hospital, according to Chron. The decision was made before the case was brought to a jury.

Rep. Greg Walden (R., Ore.), chairman of the House Energy and Commerce Committee, is backing legislation aimed at lowering drug prices by encouraging companies to develop generics, according to The Wall Street Journal.

In its latest brief, Kaiser Family Foundation delves into how the Medicare program will fare in years to come.

Bloomfield, Conn.-based Cigna is weighing its options as to whether it will offer coverage on the ACA exchanges in 2018, according to Market Watch.

After more than double the anticipated number of oncologists enrolled into CMS' bundled payments model, Watertown, Mass.-based Archway Health announced that 18 providers nationwide selected it to manage their participation in the Oncology Care Model.

Health Republic Insurance of New Jersey announced its permanent closure Feb. 3, 2017, NJ.com reports.

Senator Chuck Schumer (D-N.Y.) and the American Association of Retired Persons are urging senior citizens to write their elected officials about the importance of protecting Medicare from block grants, the Times Union reports.

Questions over the ACA's future have lingered for months, with Republican lawmakers continually saying they will repeal the health law. However, The Hill reports the GOP is changing its stance and saying they plan to repair the law.

As healthcare edges closer to value-based care, three of the nation's largest payers said they're spending approximately 50 percent on value-based initiatives, Forbes reports.