Hospitals across the country are using observation stay classifications among Medicare patients with greater frequency, in part to reduce the number of inpatient hospitalizations, according to a California Watch report based on a study from Brown University.
ASC Coding, Billing & Collections
Orthopedic cases rely on successful payor contracts to be profitable, due to high implant costs that can quickly derail profitability from a good reimbursement rate. Rob Janeway, Industry Relations & Contracts Manager for MedBridge, discusses five tactics for ASC administrators…
State officials have announced that the contract for the California health insurance exchange eligibility and enrollment system will go to Accenture, for $359 million, according to a Live Insurance News report.
Insurance company Aetna has filed a $20 million lawsuit against a Northern California surgery center firm, claiming the company is overbilling the payor, according to a Sacramento Bee report.
A recent study conducted by MGMA showed that independent physician clinics are only collecting 75 percent of the revenue they deserve due to poor revenue cycle management practices. These poor practices include inaccurate demographic information at time of admission, an…
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The ASC Association recently worked with CMS to adjust the claims processing procedure to make sure ASCs did not experience rejected Medicare claims by secondary payors due to the inclusion of new quality data G codes.
A study by Consumer Reports indicates that prices for medical procedures can vary drastically from city to city, hospital to hospital and physician to physician, according to a CNN report.
Medical cost growth is expected to increase 7.5 percent for 2013, the fourth straight year of relatively flat growth compared to inflation, according to a report from PricewaterhouseCoopers' Health Research Institute (pdf).
AAPC has announced the CCPM (Certified Physician Practice Manager) credential, according to a release.
Representatives from the American Medical Association and Medical Group Management Association sent letters to House Ways and Means Committee chairs Dave Camp (R-Mich.) and Wally Herger (R-Calif.) to suggest alternatives to the current Medicare sustainable growth rate, according to a…