ASC Coding, Billing & Collections

Health plans are increasingly providing patients with specific dollar estimates for physician office visits, according to an American Medical News report.

A new national program from insurance company Aetna aims to lower the number of out-of-network referrals for outpatient surgery procedures, according to a Healthcare Finance News report.

Rep. Daniel Lipinski (D-Ill.) has introduced legislation to require the public disclosure of charges for certain hospital and ambulatory surgery center treatment episodes.

It can be difficult to determine which payor is the best payor because physicians often find benefits and drawbacks from each company. According to Medscape's Insurer Ratings Report 2011, 54 percent of physicians say the level of payment is the…

The New Jersey Healthcare Disclosure and Transparency Act is up for discussion today in the state legislature, prompting healthcare stakeholders to discuss the legislation's potential effect on the industry and out-of-network providers, according to an NJ Spotlight report.

Insurance company Aetna recently reached out to members and their physicians to alert policyholders when a referral for an outpatient surgical procedure takes them out of the Aetna network, creating another obstacle for out-of-network surgery centers.    

Shareable Ink and Medical Web Technologies have announced they have partnered to offer a solution that integrates information collected preoperatively by Medical Web Technologies' One Medical Passport System directly into Shareable Ink’s intraoperative system.

Maryland has made changes to the federal program that offers health insurance to state residents with pre-existing conditions, according to a Baltimore Sun report.

Approximately 5,000 Phoenix women covered by Aetna could be forced to switch physicians because of a dispute between the insurance company and Drs. Goodman and Partridge OB/GYN, according to an AZ Central report.

In March, CMS extended the enforcement deadline for HIPAA 5010 compliance to July 1 — a small relief for practices, but one that does little to alleviate the financial problems caused by medical claim denials. Facilities continue to report that…