ASC Coding, Billing & Collections

The ASC sector has seen continued increases in CMS payment rates as procedures continue to shift to the outpatient setting, according to VMG Health's 2024 Healthcare M&A Report published May 7.

Prior authorizations stand as both a gatekeeper and a stumbling block for the ASC industry. These pre-approvals required by payers serve as a crucial step in ensuring the medical necessity of procedures while functioning as a cost-control mechanism. However, the…

Here is how the cost of four common ASC procedures has changed from 2019 to 2024, using data from  Blue Cross Blue Shield affiliate Blue Health Intelligence's "Rising Prices for Hospital Outpatient Care" brief, published last year and Sidecar Health's…

The Federal Trade Commission voted to ban noncompete clauses for most U.S. workers April 23. The rule would make it illegal to include noncompetes in employment contracts unless the employer is a nonprofit, as the FTC's jurisdiction does not generally…

The Federal Trade Commission voted to ban noncompete clauses for most U.S. workers April 23, and organizations have begun to file lawsuits. 

Maryland Gov. Wes Moore has signed a law prohibiting noncompetes for healthcare professionals April 25, according to an article by labor law firm Littler published in JDSupra. 

Physician reimbursement amounts per Medicare patient decreased around 2.3% between 2005 and 2021 when accounting for inflation, according to a new study from the Harvey L. Neiman Health Policy Institute.

A physician from Sewell, N.J., was convicted for causing the submission of more than $5.4 million in fraudulent claims to Medicare.

Here are six recent moves by CMS that may benefit — or burden — ASCs, as reported by Becker's in 2024: 

ASCs are historically reimbursed at lower levels than hospital outpatient departments, despite being considered by many in healthcare to be a high-quality and low-cost site of care.