ASC Coding, Billing & Collections

Determining if a case will be profitable in an ASC is a difficult, complex task. One aspect of case costing often lost in the shuffle is accurate preference card data, ASC industry leaders said during a panel at the Becker's…

As healthcare continues down the path of value-based care, ASCs take on more financial risk and must find ways to maximize reimbursements by improving performance regarding CMS' ASCQR measures.

Proper revenue cycle management is essential to keeping a steady cash flow in an ASC.

In 2013, Arizona's ACA marketplaces were full of promise, with eight payers vying for consumers. However, this competition has waned as many Arizona counties will only have one payer offering coverage next year, with the state's current marketplace raising questions…

Insurance companies are facing major financial losses, and some payers, including Cigna and Aetna, said they will not pay licensed agents and brokers a commission for helping Americans enroll in individual health insurance coverage next year, according to Kaiser Health…

Captive insurance, while commonly used in industries outside of healthcare to manage risk in-house, is an opportunity for ASCs to insure their center while capitalizing on associated economic benefits.

Big insurers are scrutinizing and challenging the premiums paid to those living in poverty, labeling them as "unfair," Benefits Pro reports.

A good number of physicians have never heard of CMS' Medicare Access and CHIP Reauthorization Act, which aims to tie payment to quality outcomes and move away from a fee-for-service payment system, according to Healthcare Dive.

A recent SERMO survey found more physicians will not accept new patients with coverage under the ACA next year, according to mrc TV.

Anthem Blue Cross and its 17 ACO partners saved $70.4 million over a 12-month measure period and also provided high quality care to Anthem preferred provider organization members.