ASC Coding, Billing & Collections

House Rep. Greg Murphy, MD, has introduced a bill that would stabilize pay under Medicare for 2025. 

Denials of claims are increasing, along with the administrative burden of managing them. 

ASCs and hospitals are increasingly joining forces as healthcare consolidation accelerates, and more procedures shift to outpatient settings, driven by payer preferences and patient demand for lower-cost alternatives. 

In an Oct. 16 opinion piece published in MedpageToday, Nehad Soloman, MD, a Glendale, Ariz.-based rheumatologist writes that fees for electronic fund transfers on payments made at medical practices "cut into practices' often razor-thin margins as they struggle to stay…

The North Carolina Supreme Court's recent ruling on a physician's certificate-of-need lawsuit could lead to an unraveling of the policy, NBC affiliate WRAL reported Oct. 18. 

Phoenix-based Fortitude Surgery Center has filed a lawsuit against Aetna, alleging violations of federal retirement income policy by denying claims for medically necessary services, according to court documents obtained by Becker's. 

Revenue cycle outsourcing is surging in popularity among ASCs. Two of the main reasons why: It's become more difficult to run a successful ASC business office, and it's become much easier for a business office's performance to fall off and…

Here's are recent updates to the No Surprises Act and changes expected in 2025: 

MHH Healthcare, a San Juan, Puerto Rico-based MA insurer, holds the highest average star rating out of the 15 largest Medicare Advantage insurers by membership, according to an analysis from Chartis. 

CMS has been phasing in new hospital price transparency requirements throughout 2024, with more changes set to take effect Jan. 1, 2025.