In a July 28 webinar titled "ASC – PPO Out of Network Payments Are Not Dead," Kelly Webb, CEO of ASC Billing Specialist, discussed how an out-of-network reimbursement strategy can still work for surgery centers, despite payors pressuring providers to…
ASC Coding, Billing & Collections
The following article was written by Rob Morris, vice president of marketing and new business development at CareCredit, a part of GE Capital.
CMS has concluded that the risk of bariatric surgery does not outweigh the toll morbid obesity takes on a person's health, according to a final decision memo on bariatric surgery and an AAPC report.
Cathy Weaver, senior manager at Somerset CPAs in Indianapolis, Ind., discusses five trends in Medicare reimbursement in the ambulatory surgery center setting over the past several years.
Out-of-network has suffered from an increasingly poor reputation in recent years, as payors put pressure on physicians and patients to choose in-network providers for their referrals and encounters. Here John Bartos, CEO of Collect Rx, a company that specializes in…
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Two Chicago outpatient surgery centers, part of American Health Care Centers, allege that Blue Cross & Blue Shield of Illinois reneged on "unambiguous promises" of coverage for services, according to a Crain's Chicago Business report.
In the Medscape Insurer Ratings Report 2011, physicians listed the companies with the greatest frequency of denials, with United Healthcare at the front of the pack. The responses were collected from 10,214 physician surveys and included only those that specified…
This story was written by Amy Gagliardi, corporate purchasing director, Michael Orseno, revenue cycle director, and Andrea Woodell, director of managed care for Regent Surgical Health. The story originally appeared in the Regent e-newsletter, which can be subscribed to here.
New York's Medicaid program has saved billions of dollars in its recent redesign, and now the state is asking the federal government to keep those savings to reinvest in Medicaid, according to a Times Union report.
Here are 20 issues dealing with Medicare or Medicaid that occurred in the past two weeks, starting with the most recent.