ASC Coding, Billing & Collections

Each year CMS publishes Medicare Advantage and Medicare Part D star ratings to measure the quality of health and drug services from Medicare Advantage and Medicare prescription drug plans, or Part D plans.

Noncompete clauses continue to be the target of lawsuits and action by state legislatures. 

Baptist Health Medical Group, part of Louisville, Ky.-based Baptist Health, terminated its contract with Humana Medicare Advantage last month. Now, the system's Medicare Advantage contracts with UnitedHealthcare and Wellcare are on the line, according to an Oct. 19 report from…

Humana Advantage Plan members in North Carolina will no longer be in network with Raleigh-based WakeMed and Greenville-based ECU Health, according to an Oct. 19 report from CBS affiliate WNCT.

UnitedHealthcare Group, which has an annual revenue of $324 billion, is the largest health insurance company in the U.S. by market share, according to a report from ValuePenguin updated in October. 

Zanesville, Ohio-based Genesis HealthCare System will no longer accept Anthem or Humana Medicare Advantage plans beginning in 2024. 

Columbia, Tenn.-based payer Farm Bureau Health Plans has added Nashville, Tenn.-based Ascension Saint Thomas to its Medicare Advantage provider network. 

CMS settled a record-breaking $9.29 million in Stark law voluntary self-referral disclosure settlements in 2022, according to recent CMS data.

Morgantown-based West Virginia University Medicine has launched an in-house health insurance services company, Peak Health, which has been serving WVU Medicine employees. Now, the system is expanding its offerings to Medicare-eligible patients throughout the state, according to an Oct. 19…

HHS' Office of the Inspector General has confirmed broad protection of employee safe harbor under anti-kickback laws in a recent ruling involving physician ownership of an ASC, according to an Oct. 17 article in JDSupra written by law firm Sheppard…