ASC Coding, Billing & Collections

In 2015, health insurer Premera Blue Cross lost nearly $117.5 million on individual health plans, according to Puget Sound Business Journal.

The Fighting for Medicare Fraud Act of 2016 may impede individuals from participating in federal healthcare programs such as Medicare and Medicaid, according to McKnight’s.

This year alone the healthcare industry has seen major healthcare fraud lawsuits, with hospitals and payers alike paying millions of dollars.

Houston-based Texas Medical Center gathered healthcare issue opinions from residents in California, Florida, New York, Ohio and Texas, according to Houston Public Media.

Council for Medicare Integrity found Medicare is losing billions due to improper medical billing for durable medical equipment, prosthetics, orthotics and supplies, according to RevCycle Intelligence.

Health insurer Highmark is suing the federal government over $220 million unpaid claims, according to CNBC.

CMS maintains reimbursement cuts in non-competitive bidding areas have not had a negative effect on beneficiary access, according to HME News.

Various Indiana surgery centers are filing lawsuits against UnitedHealthcare for allegedly failing to pay for services the center's physicians rendered to patients, thereby violating state and federal law, according to Indiana Business Journal.

Lebanon, N.H.-based Dartmouth Institute for Health Policy & Clinical Practice researchers found many physicians lack an understanding about tests and procedures' cost, according to Science Daily.

CMS approved California's new tax on healthcare plans, according to Los Angeles Times.