ASC Coding, Billing & Collections

Approximately 15% of all medical claims sent to insurers are denied, including claims that were pre-approved, according to a recent report by healthcare solutions and research company Premier.

Maine is poised to be the next state to ban noncompete agreements, the National Law Review reported March 25. 

Some of the largest recoveries by the Justice Department in the last year were Stark law violations, and some leaders worry the policy is hurting physicians rather than preventing corruption. 

CMS moves are changing the way physicians practice. Here are four recent moves from CMS that are either helping or hurting physicians:

The push to revamp prior authorization practices has picked up steam recently.

The New York City Council is considering bills that would ban noncompetes after Gov. Kathy Hochul in December vetoed a bill that would have prohibited them statewide, Newsday reported March 17. 

A bill amending Washington's noncompete policy was signed into law by Gov. Jay Inslee on March 13, according to a news release from the Washington Senate Democrats. 

The Florida Legislature declined to pass two laws banning noncompetes for physicians and doctors of osteopathic medicine, law firm McDermott Will & Emery said in a March 12 blog post. 

Here are six CMS moves that are helping and hurting ASCs.

Five ASC procedures are projected to experience a decline in reimbursements in 2024, according to a VMG Health report.