ASC Coding, Billing & Collections

Wellcare Health Plans, a Tampa-Fla.-based company that manages Illinois' largest Medicaid HMO plan, revealed that it had overbilled the state by around $1 million from July 2006-June 2009, according to a report in The Chicago Tribune.

The Centers for Medicare & Medicaid Services has made progress transitioning claims administration to 19 Medicare Administrative Contractors, as set in place by The Medicare Prescription Drug, Improvement, and Modernization Act of 2003; however, the agency encountered some challenges that…

Independent laboratories currently eligible to bill for the technical component of physician pathology services whether patients are inpatient or outpatient are allowed to continue to bill for their services through Dec. 31, 2010, according to the Centers for Medicare and…

Here are the 2010 Medicare reimbursement rates for 11 nerve block procedures performed in the ASC setting.

Several California hospitals will begin using bundled fees, which include both facility and physician fees, when billing for hip and knee replacements, according to a report by the Los Angeles Times.

CMS provides the following list of possible combinations for procedures with more than one surgical modifier (modifiers in parentheses):

Cahaba Government Benefit Administrators, LLC, a J10 A/B Medicare Administrative Contractor for Alabama, Georgia and Tennessee and a Part B carrier for Mississippi, has released a list of the top reason for electronic data interchange claim rejections for the states…

Here are the 2010 Medicare reimbursement rates for four common ASC knee procedures.

The Centers for Medicare & Medicaid Services has informed Medicare contractors that the interest rate for Medicare over- and underpayments has dropped to 10.875 percent, effective April 23, 2010, according to CMS Transmittal 166.

Here are six common spine procedures by CPT code and their national average Medicare payments.