ASC Coding, Billing & Collections

Legislation further amending noncompete policy in Washington has passed the state's Senate. 

Preauthorization. Precertification. Prior authorization. One of the most time-consuming, costly, and complex paperchase processes for the healthcare industry goes by many names.

Forty-six percent of physicians participate in the fee-for-service payment model, according to Medscape's "Physician Compensation Report 2023."

Despite its growing popularity, only 14% of physicians participate in the value-based payment model, according to Medscape's "Physician Compensation Report 2023."

CMS recently added 11 surgical codes to the ASC payable list and finalized a 3.1% payment rate for ASCs in its 2024 final rule.

Sixteen states have no certificate-of-need laws, according to a report from HealthCare Appraisers, a consulting firm. 

Recent prior authorization reforms by CMS are a significant step in the right direction but are not an all-encompassing solution, according to the American Medical Association.

The Delaware Supreme Court ruled that financial services company Cantor Fitzgerald properly denied $9 million to former partners under noncompete agreements, Bloomberg Law reported Jan. 29. 

More states have been looking to repeal or reform their certificate-of-need laws with the intention of increasing access to care. 

A married couple living in Birchwood, Tenn., have been sentenced for a $65 million TriCare fraud scheme.