Susan Charkin, MPH, president of Healthcents, an ASC and physician specialty hospital contracting and consulting group, shares four clauses ASCs should watch for when contracting with third-party payors.
ASC Coding, Billing & Collections
Caryl A. Serbin, RN, BSN, LHRM, president and founder of Serbin Surgery Center Billing, suggests following these eight guidelines to help ensure your ASC contracts with insurance plans best for your facility.
The administrator for New York State's dental benefits plan, Group Health Inc., paid approximately $1.6 million in questionable claims by dentists for scaling and root planing procedures, according to a news release by New York State Comptroller Thomas P. DiNapoli.
CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Q: When our pain doc does 62311 (lumbar epidural) with G0260 (SI joint injection), I looked at CCI and it says…
An existent compliance plan not only detects incorrect coding practices, it may also be considered by some federal agencies when determining whether reasonable efforts were taken to avoid and detect fraud and abuse. Let's look at the following 10 best…
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The American Academy of Professional Coders has published an article providing guidance for the documentation needed to meet ICD-10 requirements.
ASCs should incorporate an external audit into their compliance programs. Formal coding audit protocol should define the purpose of the audit, frequency of review and sample size. The difficult part is selecting a credible auditing company. Ideally, you should interview…
If you think you can wait until 2013 to evaluate your system processes and work protocols for the ICD-10 implementation, think again! The ICD-10 implementation doesn't mean you simply need to purchase a new coding manual. It involves changes and…
The economic success of your ASC relies heavily on your reimbursement policies and procedures. Many payors (including Medicare) require ASCs to have written policies regarding their payment policies. These policies must follow OIG compliance guidelines for government carriers and must…
Susan Charkin, MPH, president of Healthcents, an ASC and physician specialty hospital contracting and consulting group, offers the following four quick tips for increasing collections in your ASC.