N.J. Democratic Assemblyman Gary Schaer, chairman of the Assembly's Financial Institutions and Insurance Committee, has introduced legislation to further regulate the out-of-network relationships in the state, according to Mark Manigan, JD, an attorney with the Health Law Practice Group at Brach Eichler.
ASC Coding, Billing & Collections
The New Jersey Appellate Division of the Superior Court has delivered a victory to personal injury protection medical providers when the court ruled insurance carriers are barred from demanding confidential business information while "investigating" whether providers should receive payment for…
CMS has announced that Medicare contractors processing institutional claims should no longer automatically deny line items submitted with the modifier -GA until further notice, as such denials have been subsequently suspended at the direction of CMS.
The following is reprinted from Medicare Learning Network's Medicare Quarterly Provider Compliance Newsletter (Volume 1, Issue 1). Problem Description CMS uses the RAC program to detect and correct improper payments in the Medicare FFS program and provides information to CMS,…
The Office of Inspector General says it will review several issues pertaining to surgery centers, including analyzing the appropriateness of the methodology for setting ASC payment rates under the revised ASC payment system, according to the OIG Work Plan for…
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In the current economy, patients are finding it more and more difficult to pay their bills — so much so that they often put off non-elective procedures because their high-deductible insurance plans require a hefty financial contribution. Three ASC collections…
Accounts receivable is easily the most misquoted ASC statistic, says Joe Zasa, co-founder and managing partner of ASD Management, and this is very bad news for ASCs as A/R days is also the most important business statistic.
Bill Gilbert, vice president of marketing, and Brice Voithofer, vice president of ASC and anesthesia services, for AdvantEdge Healthcare Solutions, share the following three changes an ASC can make which will help boost collections efforts immediately.
Here are 10 stories that will improve your ASC's collections.
Becker's ASC Review has learned of a recent decision in the Illinois courts regarded as an important step forward in ASCs' efforts to achieve reasonable out-of-network payments.