ASC Coding, Billing & Collections

Eighty-nine percent of providers said that prior authorizations were very or extremely burdensome, according to the Medical Group Management Association's 2023 "Regulatory Burden Report." 

Stark law settled a record-breaking $9.2 million in voluntary self-referral disclosure settlements in 2022, and many physician leaders have experienced obstacles stemming from Stark law policy. 

Ninety-seven percent of providers' patients have received delays or denials for necessary care due to prior authorization requirements, according to the Medical Group Management Association's 2023 "Regulatory Burden Report." 

Danville, Pa.-based Geisinger has been added to Capital Blue Cross' Medicare Advantage network, beginning Jan. 1, according to a Nov. 9 report from The Valley Ledger.

The average Medicare Advantage beneficiary can choose from a total of 43 plans for the 2024 enrollment period, the same number of plan options as 2023, according to data from KFF published Nov. 8. 

California has the largest number of providers accepting UnitedHealthcare insurance plans statewide, in addition to having more ASCs than any other state, according to the most recent data from the payer's website. 

Here are three updates on UnitedHealthcare that Becker's has reported since Nov. 1:

Here are three recent rulings from CMS that affect ASCs: 

Pediatric intensivist David Lankford, MD, is suing his former employer, Fort Wayne, Ind.-based Lutheran Hospital, to get out of a noncompete clause in his contract, local PBS affiliate WFYI reported Nov. 2. 

In August, Greenville, S.C.-based Prisma Health warned its patients that starting Jan. 1, the health system might be out of network with UnitedHealthcare. Now, as the negotiation deadline looms, it seems more and more likely, according to a Nov. 3…