ASC Coding, Billing & Collections

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…

In 2017, about one-third of U.S. counties only possess one marketplace payer for individual coverage, according to Kaiser Health News.

A Kaiser Family Foundation analysis found the Medicare Advantage market is highly consolidated around the United States.

Kellyanne Conway, a senior advisor to President-elect Donald Trump, told MSNBC no one with health insurance will lose their coverage if the Republican administration repeals and replaces the ACA.

Hopkins, Minn.-based UnitedHealthcare is now including the FitBit Charge 2 device in the UnitedHealthcare Motion's wellness program, according to Investopedia.

JAMA published a study showing bundled payments yielded significant savings for patients undergoing joint replacement surgeries. Despite the savings, President-elect Donald Trump's pick to lead HHS, Rep. Tom Price, MD, has opposed the mandatory payment program, according to Kaiser Health…

Both the American Medical Association and American College of Physicians leaders sent letters to Congress seeking a delay for an ACA repeal until legislators fully vet a new health plan, according to MedPage Today.

The ASC reimbursement environment has changed significantly over the years. Twenty years ago, doctors had their ‘code set,’ everything was straightforward and they could code effectively on their own. But that is not the case today. Requirements differ and nuances…

Medical homes are primary care-based comprehensive health offerings that deliver highly coordinated care and enhanced patient involvement. Medical homes utilize a team approach to take overall responsibility for the care of a large group of patients. In medical homes, patients…