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ASC Coding, Billing & Collections

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.

Beginning in January 2025, the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems will be mandatory for ASCs and HOPDs. The new survey from CMS will gauge patient satisfaction in Medicare-certified HOPDs and ASCs, focusing on communication,…

ASCs, physicians and hospitals alike have struggled with declining reimbursements, patient care issues and administrative burdens associated with Medicare Advantage plans — pushing some to drop the program entirely. 

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About 40% of physicians believe practitioners have no obligation to take on Medicaid patients, according to the second part of Medscape's "Hot Topics in the Medical Profession Report 2024," published Oct. 9. 

Denials of claims are increasing, along with the administrative burden of managing them, according to Experian Health's "2024 State of Claims" survey. 

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