ASC Coding, Billing & Collections

After seeing growth in Medicare margins between 2004 and 2005, hospital outpatient margins declined in 2006, which reflects changes in the reimbursement for Medicare Part B drugs and the end of hold-harmless payments to SCHs, which were reestablished in 2009.

State Treasurer Janet Cowell announced this week that Blue Cross Blue Shield of North Carolina will continue to be the system's claims processor until at least 2016, according to Biz Journals.

Healthcare providers in New Jersey will streamline electronic healthcare claim processing thanks to a new rule from the federal Department of Health and Human Services, according to NJ Spotlight.

Georgia's Department of Community Health announced that the state's programs to provide health insurance to poor and disabled state workers overspent their budget by $100 million and overpaid $30 million to nursing homes and hospices since 2003, according to The…

More small clinics and physician practices in Texas than ever are leaving Medicaid, and less than one-third will take on new patients, the Lubbock Avalanche-Journal reported.

CPT copyright 2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Editor's Note: This article by Paul Cadorette, director of education for mdStrategies, originally appeared in The Coding Advocate, mdStrategies free monthly…

Editor's note: This article by Tony Mira, president and CEO of Anesthesia Business Consultants, an anesthesia & pain management billing and practice management services company, originally appeared in Anesthesia Business Consultants eAlerts, a free electronic newsletter. Sign-up to receive this…

The Centers for Medicare and Medicaid Services are prepping to determine payment rates for two new Current Procedural Technology codes for circulating tumor cell testing, according to the Sacramento Bee.

Austin, Texas-based St. David's HealthCare is coming under fire for billing urgent care patients with emergency room prices, according to The Statesman.

CMS official Cindy Mann announced this week that states may choose whether to expand their Medicaid program initially and, later, decide to drop out of the expanded program.