ASC Coding, Billing & Collections

Here are three big payer moves disrupting the ASC industry: 

The legal landscape is growing increasingly hostile to noncompete agreements, according to a Sept. 27 article in JDSupra by law firm Dorsey & Whitney. 

In the intricate web of the modern healthcare industry, the term "out-of-network" has become somewhat synonymous with confusion and uncertainty for both patients and providers.

The ASC industry is constantly evolving, and one of the major players in its evolution is CMS. 

This year, eight major U.S. health systems have canceled their Medicare Advantage contracts, often citing low reimbursement rates and prior authorization hassles. 

CMS settled a record number of 104 Stark law self disclosures in 2022, totaling more than $9.2 million, according to a Sept. 18 JDSupra report from law firm McGuireWoods. 

CMS recently passed a Stark law update that will allow hospitals and healthcare providers to improve mental health services for physicians.

Serving over 1,100 surgical clients nationwide for over twenty years, nimble solutions has unique insight into the claim denial reasons for ambulatory surgery centers (ASCs). Our business intelligence and analysis team recently conducted a comprehensive study to explore the most…

Four physicians joined Becker's to discuss the Stark law trends they are eyeing. 

The cost of common medical procedures are as much as 58 percent more expensive when performed in hospital outpatient departments compared with ASCs or physicians' offices, according to an analysis by the Blue Cross Blue Shield Association.