ASC Coding, Billing & Collections

Arkansas Medicaid Director Eugene Gessow envisions transforming the state's Medicaid program by paying teams of physicians and other health professionals based on episodes of care, according to an American Medical News report.

In a letter to MedPAC Chairman Glenn Hackbarth, the Access to Medical Imaging Coalition asked MedPAC to reconsider its plan to reduce reimbursements and require prior authorization for imaging services.

The University of Pittsburgh Medical Center and Highmark have not been able to agree on a new contract, according to a Pittsburgh Tribune-Review report.

An Illinois legislative plan has approved a temporary health insurance plan intended to increase options for approximately 200,000 state employees and retirees, according to a Bloomberg Businessweek report.

North Dakota lawmakers have begun drafting legislation to broaden health insurance coverage by establishing a health insurance exchange, according to a Bloomberg Businessweek report.

One-third of employers will cut health insurance benefits for employees over the next few years, according to a survey of 1,300 employers conducted by McKinsey and Company.

The billing cycle, the payment cycle and payor-clean claims should be major areas of emphasis for any orthopedic center, said Woody Runner, CEO of Kerlan-Jobe Orthopaedic Clinic, at the 9th Annual Orthopedic, Spine and Pain Management-Driven ASC Conference in Chicago…

Like other ambulatory surgery centers in New Jersey, Short Hills Surgery Center was once 100 percent out-of-network but has been under intense pressure from the state legislature and major payors to go in-network. Nancy Easley-Mack, business office manager of the…

The Centers for Medicare & Medicaid Services has lifted its marketing and enrollment ban on Aetna Medicare, according to an Aetna news release.

Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC, recently wrote an article for AAPC that encouraged billers and coders to educate themselves on proper evaluation and management auditing.