ASC Coding, Billing & Collections

ASCs nationwide are facing rising operating costs that are outpacing dwindling reimbursements.

ASCs are struggling to meet margins as procedures continue to migrate to the outpatient setting but reimbursements stagnate. 

The Federal Trade Commission voted 3-2 on April 23 to ban on noncompete clauses for most U.S. workers, and several states have since made moves to restrict noncompetes at the state level. 

A Texas physician was convicted by a federal jury for his involvement in the submission of more than $70 million in fraudulent claims to Medicare for unnecessary orthopedic braces and tests.

A Nevada physician was convicted for his role in defrauding Medicare and Medicaid of nearly $2 million.

A physician from Bloomfield Hills, Mich., was convicted of healthcare fraud and making false statements in what federal officials say was a $6.3 million Medicare fraud scheme.

Three ASC leaders joined Becker's to discuss the Medicare policies that are impeding the growth of surgery centers. 

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…