ASC Coding, Billing & Collections

Louisville, Ky.-based Baptist Health will officially cut ties with UnitedHealthcare and Wellcare's Medicare Advantage plans beginning in January, according to a Nov. 30 report from Louisville Public Media. 

ASCs are facing obstacles from payers in many markets to receive the reimbursements leaders say are needed to meet margins. Here is how many leaders are shifting their strategy.

As of the beginning of December, 13 candidates remain in the race for president, including seven Republicans, three Democrats and three independent party members, according to NBC News. 

Oscar Lightner, MD, a physician at a Houston pain management clinic, was sentenced to seven years in prison for operating a clinic that sold illegal prescriptions. 

Tulsa, Okla.-based Ascension St. John has joined Blue Cross Blue Shield of Oklahoma's Medicare Advantage network, according to a Nov. 30 report from the Owasso Reporter.

A Georgia Senate committee has recommended the repeal of certificate-of-need laws in their entirety, according to a Nov. 29 report from the panel. 

Tumwater, Wash,-based sleep disorder practice Innovative Sleep Centers will pay $644,562 to resolve allegations it improperly billed Medicare and Medicaid. 

Blue Cross Blue Shield of Texas is expanding its Medicare Advantage coverage for 2024, entering 80 additional counties in the state. 

A proposed bill in the Florida House would eliminate noncompete agreements for physicians, NBC affiliate WCTV reported Nov. 29.

Here are five recent CMS moves that are shaping the ASC industry: