ASC Coding, Billing & Collections

A new report published in Health Affairs shows that market share matters when it comes to negotiating with insurance companies.

Buffalo-based BlueCross BlueShield of Western New York signed a value-based care facing agreement with Buffalo, N.Y.-based Roswell Park Cancer Institute, Buffalo Business First reports.

President Barack Obama said to Vox he'd support an ACA replacement, if the Republican party can make a "demonstrably better" option, CNBC reports.

Beneficiaries enrolled in Medicare Advantage have the option to switch to CMS' Medicare through Feb. 14, 2017, according to Time Money.

Despite a rumored ACA repeal, North Carolina's governor Roy Cooper (D) formally began the process to expand the state's Medicaid program in 2018, the Minnesota StarTribune reports.

A Kaiser Family Foundation survey found the majority of Americans want a viable alternative before legislators work to repeal the ACA, according to Kaiser Health News.

An Advisory Board survey showed many medical groups are still apprehensive over CMS' Medicare Access and CHIP Reauthorization Act of 2015.

Repealing the ACA could cost an estimated $350 billion through 2027 when using conventional scoring, a Committee for a Responsible Federal Budget report found.

In 2011, federal officials thought auditing private Medicare Advantage insurance plans that were allegedly overcharging the government for medical services would reap big savings for taxpayers. However, the audits painted a different story, showing Medicare overpaid health plans a significant…

In September 2014, the U.S. Dept. of Health and Human Services’ Office of the Inspector General (OIG) published its audit of Tulare Regional Medical Center, an acute care hospital in California. In its findings, federal investigators determined the “hospital did…