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.
ASC Coding, Billing & Collections
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.
Advertisement
CMS has added 13 new modifiers and extended the one of one, as indicated in the January 2011 Integrated Outpatient Code Editor.
If communication fails between physicians and ambulatory surgery center coders, your ASC could end up coding claims inappropriately and receiving too little or too much money for a procedure. If your ASC has no formal query process in place, independent…
CPT copyright 2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.Lolita M. Jones, RHIA, CCS, an independent consultant specializing in hospital outpatient and ambulatory surgery center coding, billing, reimbursement and operations, discusses…
Ambulatory surgery centers in California are facing a 20 percent reduction in reimbursement under proposed regulations from the California Division of Workers' Compensation (DWC), according to a news release from the California Ambulatory Surgery Association.
The new FAIR Health database, created under agreements with the New York attorney general's office and established as the arbiter of "usual, customary and reasonable" payment rates, is set to launch by late January, according to an American Medical News…