Out-of-network reimbursement is one of the most significant issues in the surgery center industry today. Many experts believe that dependence on out-of-network reimbursement will become unfeasible in the next few years, but some surgery centers and markets continue to buck…
ASC Coding, Billing & Collections
Connecticut-based insurance company Cigna is in the process of removing all one-room surgery centers in New Jersey from its network, according to a Cigna contract manager.
Managed care contracting is essential to surgery center profitability, particularly as out-of-network billing becomes less feasible in many markets. Adriaan Epps, director of contracting services for abeo Management Corporation, discusses 10 ways surgery centers can achieve substantial increases year-over-year without…
Like many states, Ohio is hesitating on designing a health insurance exchange, leading exchange supporters to believe the state will run out of time before the Jan. 2013 deadline, according to a Columbus Dispatch report.
Medicare contractors denied payments for some valid services in 2010, according to an audit of improper payment determinations by a government watchdog and an American Medical News report.
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CMS will start an immediate recoupment process for demanded overpayments, according to an AAPC report.
The top 1 percent of people under 65 with commercial health insurance account for 25 percent of healthcare costs, according to a report by the IMS Institute for Healthcare Informatics.
An Oklahoma proposal to establish a state-run health insurance exchange passed a test vote on Monday with the support of three lawmakers, according to aTulsa World report.
The House and Senate have passed a new payroll tax cut bill that also stopped the Medicare payment cut to physicians, and it will now head to President Barack Obama's desk, where it is expected to be signed, according to…
Starting April 1, only one receiver will see electronic payment for a claim, no matter the number of national provider IDs on file, according to an AAPC report.