ASC Coding, Billing & Collections

The Centers for Medicare & Medicaid Services recently clarified when modifier KY DMEPOS item subject to DMEPOS competitive bidding program number 5 should be used to report durable medical equipment, prosthetics, orthotics and supplies subject to competitive bidding, according to…

Here are 10 statistics about ambulatory surgery center A/R turnover, based on VMG Health's Multi-Specialty ASC Intellimarker 2010.

Ken Bulow, COO of GENASCIS, identifies 10 key provisions and terms to look for in your surgery center's managed care contracts and offers recommendations for what you should expect under these terms.

UnitedHealthcare and Saint Thomas Health Services have extended by two weeks a contract that allows United members to continue in-network access to Saint Thomas' medical facilities, a decision that affects patients of at least three surgery centers, according to a…

Here are three mistakes coders make that can lead to denied claims in ambulatory surgery centers.

Eric J. Woollen, vice president of managed care for Birmingham, Ala.-based Practice Partners in Healthcare, cites three ways health plans are corralling out-of-network ambulatory surgery centers into their networks.

While out-of-network ambulatory surgery centers in New Jersey have historically benefited from very lucrative reimbursement levels, insurance companies have recently announced their intention to tie OON reimbursement of surgery centers to Medicare. In addition, the New Jersey Insurance Transparency Bill…

The American Association of Professional Coders has announced its Certified Professional Compliance Officer credential, developed as compliance programs become mandatory to enroll in federal healthcare programs due to reform.

CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. According to Lolita M. Jones, RHIA, CCS, independent coding consultant, the CPT Codebook includes two categories of CPT codes for a…

Eric J. Woollen, vice president of managed care for Practice Partners in Healthcare, describes two situations where staying out-of-network may be an ambulatory surgery center's only option.