ASC Coding, Billing & Collections

The Problem With ASC Reimbursement Methodology: 4 Thoughts From Tri-City Orthopaedic Clinic's Scott Faringer

Scott Faringer is the administrator of The Tri-City Orthopaedic Center in Richland, Wash., a USPI facility. He is currently the USPI Washington State Advocacy member, a position for which he has visited Washington, D.C., to pitch a new ASC reimbursement…

Surgery Center Coding Guidance: Telescopic Intraocular Lens

CPT copyright 2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Editor's Note: This article by Paul Cadorette, director of education for mdStrategies, originally appeared in The Coding Advocate, mdStrategies free…

MedPAC Recommends 0.5 Payment Increase for ASCs

The Medicare Payment Advisory Commission voted to recommend that ASCs receive a 0.5 percent payment increase in 2013, according to an ASCA release.

CMS Corrects 2012 Medicare Rates

CMS has corrected the 2012 ASC payment rates published in November by the agency, according to an ASCA report.

CMS Asks Surgery Centers to Resubmit Incorrect Medicare Claims

CMS has indicated to the ASC Association that recent payments to surgery centers may not have reflected Congress' Dec. 23 vote to delay a potential reduction in physician payments due to the flawed SGR formula, according to an ASCA release.

Hospitals Add "Facilities Charge" for Patients Who Receive Care Off-Site

More patients are noticing added charges on their hospital bills, due to some hospitals charging an extra "facilities charge" when patients are treated at off-site, hospital-affiliated locations, according to a Fierce Healthcare report.

Oklahoma Governor Signs Rule Creating "Child-Only" Insurance Policies

Oklahoma Gov. Mary Fallin has signed a rule allowing enrollment insurance companies to offer "child-only" policies, according to a Daily O'Collegian report.

Virginia Democrats Propose Health Insurance Exchange Bill to Ward Off Federal Intervention

Virginia House Democrats proposed a measure Tuesday to establish health insurance exchanges in the state, a system that would allow consumers to purchase affordable health coverage in an online marketplace, according to a Washington Post report.

2012 CPT Manual Updates for Arthroscopic Shoulder & Knee Surgery

Changes with the 2012 CPT Manual have made an impact on coding for arthroscopic procedures, according to a report in AAOS Now.

Ohio Proposes Link Between Medicare, Medicaid Programs

Ohio state officials want to link the Medicare and Medicaid programs so that beneficiaries who enroll in both only have to work with a single program to receive the services, according to an Associated Press report.