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ASC Coding, Billing & Collections

More payors are introducing bundled payment programs, giving surgery centers and hospitals the ability to accept a pre-determined rate for a procedure in exchange for higher volume from the payor. In this scenario, the payor and the facility also work…

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As healthcare provider groups fought back against the Department of Health and Human Services warning about upcoding, they contested that more coding does is not the same as coding fraud, according to Fierce Healthcare.

Ambulatory surgery centers are at risk of losing revenue from performed procedures if the appropriate revenue cycle management principles are not performed and executed for out-of-network payors. Even if out-of-network claims are infrequent, ASCs can reduce their risk of denials…

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