ASC Coding, Billing & Collections

The manual prior authorization process stands as a notorious drain on both time and money. For ASCs, this aspect of the revenue cycle curtails efficiency but also strains staff resources, jeopardizing cash flow and overall financial success.

The American Medical Association backed the Medicare Payment Advisory Commission's recommendations for Congress to reform Medicare payments.

CMS settled a record-breaking $12.56 million in Stark law voluntary self-referral disclosure settlements in 2022, according to recent CMS data.

Physicians, state governments and the Federal Trade Commission are all battling to reform policy surrounding noncompete clauses, which prohibit physicians from seeing patients one to two years within a geographic region if they are fired or quit their job.

Noncompete clauses are facing increasing scrutiny, as physicians, states and even the Federal Trade Commission look to reform policy. 

Hospitals, health systems and physicians faced big Stark law penalties in 2023.

Patient and provider interest in ASCs is rising, but markets that have stringent certificate-of-need laws could struggle, leaders say. 

ASCs are becoming an increasingly popular site of service for patients, and payers are taking note. 

Physicians have continued to see Medicare payment cuts year over year, with a 2% cut in 2023 being followed by a 1.68% cut in 2024, according to an April 8 report from the American Medical Association. 

Medicare pay cuts are making it difficult for many smaller, independent physician practices to meet margins.