ASC Coding, Billing & Collections

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.

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.