ASC Coding, Billing & Collections

A circuit court has reinstated a suit from the Costa Mesa, Calif-based South Coast Specialty Surgery Center accusing Blue Cross of California, which does business as Anthem Blue Cross, of racking up more than $5.4 million in unpaid claims. 

Five physician leaders joined Becker's to discuss the payer behavior they'd like to see changed in 2024. 

This year is shaping up to be a big one for major U.S. payers, with several new rules going into effect. 

The ever-changing payer landscape requires leaders to be nimble in order to navigate it successfully.  

In January 2023, the Federal Trade Commission proposed a rule that would ban noncompete contracts for full-time employees and independent contractors. 

UnitedHealthcare Group, Cigna and CVS Health-backed insurer Aetna, three of the largest U.S. insurers by membership, each had an eventful 2023. 

Nearly 200 members of Congress have co-signed a bipartisan letter urging House and Senate leaders to pass legislation addressing 2024's Medicare physician pay cuts, according to a Jan. 4 report from the American Medical Association. 

Cigna is reportedly in "advanced talks" to sell its Medicare Advantage business to Chicago-based health insurer Health Care Service Corp., according to a Jan. 3 report from The Wall Street Journal.

The reimbursement disparity between hospital outpatient departments and ASCs is frustrating leaders as costs soar. 

Here are three providers who have been charged or sentenced for their alleged roles in fraud schemes that Becker's has reported on since Dec. 5: