This article was written by John A. Mills, JD, an associate with Fenton Nelson's litigation and compliance groups, in response to a recent lawsuit filed by Aetna against Bay Area Surgical Management LLC, alleging the surgery centers illegally induced its…
ASC Coding, Billing & Collections
Regent Surgical Health has announced Andrea Woodell has joined its executive team as director of managed care, according to a report from Regent Surgical Health.
UnitedHealthcare has surpassed WellPoint as the health insurance company with the most enrolled customers, according to data from Mark Farrah Associates.
Providers and suppliers have until March 31 to comply with HIPAA transaction standards for submitting claims electronically, and must agree to receive Medicare payments through electronic funds transfer, according to an AAPC report.
Here are 10 basic steps for ICD-10 implementation in surgery centers, based on information provided by CMS. Visit the CMS website to learn more about ICD-10 implementation.
A New Jersey Assembly committee has approved a bill to introduce a health insurance exchange, an online marketplace where individuals and small businesses could comparison shop for insurance coverage, according to an NJ Spotlight report.
While Texas is reviewing health insurance companies' rate increases of at least 10 percent to determine whether they are justified, as mandated under healthcare reform, the state has not yet publicized information on significant rate hikes to the public, according…
Insurance company Aetna is suing seven California surgery centers for a billing system that the payor claims "recklessly subverts" healthcare delivery by allegedly overcharging for certain services, according to a Bloomberg Businessweek report.
Methodist Healthcare has agreed to provide in-network medical care to members enrolled in Humana's Medicare Advantage HMO plan, a decision that will bring Methodist surgery centers in the greater San Antonio area in-network, according to a San Antonio Business Journal…
CPT copyright 2012 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. The following article is written by Cristina Bentin, CCS-P, CPC-H, CMA, president of Coding Compliance Management. The revision of CPT…
