ASC Coding, Billing & Collections

Prior authorization practices and protocols have changed among many major payers in the last year.

CMS has announced a program that will accelerate payments to Medicare Part A providers and advance payments to Part B providers who were impacted by the Change Healthcare cyberattack, according to a March 9 report from the American Medical Association. 

Physicians across the country are pushing to reform, and in some cases ban, noncompete clauses, which prohibit them from seeing patients one to two years within a geographic region if they are fired or quit their job, NBC News reported…

Reimbursement challenges are among the biggest trends ASC leaders are watching.

A New York City physician was charged for allegedly engaging in a $20.7 million healthcare fraud and illegal kickback scheme.

Low reimbursement rates continue to plague ASCs nationwide.

An Arizona federal court recently granted a franchisor company's motion to temporarily restrain a former franchisee from operating a competing business in a noncompete lawsuit, law firm Lathrop GPM wrote in a Feb. 19 article published by JDSupra.  

The number of Medicare-certified ASCs has increased by 870 since 2011, according to a Feb. 13 report from financial advisory firm VMG Health. 

Some of the largest recoveries by the Justice Department in the last year were Stark law violations, according to a Feb. 8 report from law firm Mintz, which could mean the law could be enforced more strictly moving forward.

At least 16,430,000 Medicaid enrollees have been disenrolled as of Feb. 1, according to data from KFF.