ASC Coding, Billing & Collections

A recent U.S. Supreme Court ruling on that statute of limitations on ERISA actions found that a health plan can contractually create their own tolling period, which can start prior to a cause of action accruing.

In a Medscape Business of Medicine report, Betsy Nicoletti, a consultant and speaker, discusses actions to take to prepare for the transition to ICD-10 and ways to make the transition easier for a medical practice.

The healthcare BPO market — which includes medical coding, billing, claims processing and more — is expected to be worth nearly $189 billion by 2018, an increase of 10.8 percent from its current value of $92.3 billion.

Massachusetts enacted a healthcare cost control law as of Jan. 1, in attempt to require hospitals and physicians to give patients procedure costs before they decide where to purchase care, according to a WBUR report.

In a Medscape Business of Medicine article, Penny Noyes, president and CEO of Health Business Navigators, discusses phrases and clauses in your payer contract that are hidden threats and could end up costing you.

Under the 2014 Medicare Physician Fee Schedule final rule, guidelines for chronic care management payments have been changed, and the changes will start in 2014, according to AAPC.

The managed care landscape is changing but there are still several opportunities for ambulatory surgery centers to achieve appropriate reimbursement rates.

Nurse practitioners, though recognized as primary care providers in many states, could prove more useful for electronic health records and billing purposes than most practices currently make them, according to an EHR Intelligence report.

When it comes to ICD-10, healthcare providers should learn from the troubled HealthCare.gov rollout that that it is never too early to prepare for change, according to a report in The National Law Review.

Current procedural terminology modifiers 25 and 57 may be confusing to some coders, but each serves a specific purpose, according to an AAPC report.