ASC Coding, Billing & Collections

Certificate-of-need laws vary by state and consequently can have a huge impact on ASC development in each region.

Some leaders believe payers will be forced to increase ASC reimbursements as they become more lucrative amid healthcare's shift to value-based care. 

As a low-cost site of service, ASCs could benefit as value-based care's influence in healthcare heightens. 

July has been a busy month for CMS, from facing Congressional pressure on a prior authorization overhaul to the addition of dental surgical codes in its prospective payment system proposal for 2024. Here is how four changes floated in the…

Here are four major insurance companies, including UnitedHealthcare and Aetna, facing lawsuits in the last 60 days: 

Noncompete clauses affect between 37 and 45 percent of physicians, according to a report from the American Medical Association, and often can limit career growth and restrict physicians' ability to provide care in economically or socially marginalized communities. 

Healthcare and insurance company Cigna is facing a lawsuit alleging that it systematically rejects patient claims using an algorithm system it put in place to automate the process, according to a July 24 report from Forbes.

Suburban Chicago physician John Greager, MD, and his ASC will pay more than $757,000 to settle allegations he submitted fraudulent claims to Medicare and the Federal Employees Health Benefits Program.  

A bipartisan Congressional majority is putting pressure on CMS to finalize a federal regulation that would overhaul prior authorization within Medicare Advantage, according to a July 24 report from the American Medical Association.

Here are four Stark law changes Becker's has reported on since Feb. 15: