Blue Cross Blue Shield of Massachusetts and Beverly, Mass.-based Northeast Health Systems Physician Hospital Organization have signed a five-year Alternative Quality Contract, making the organization the first North Shore physician group to adopt BCBSMA's global payment model, according to a…
ASC Coding, Billing & Collections
In today's fluctuating economy, ASCs are looking for ways to increase their reimbursement while remaining competitive and compliant. The first place to look should be your accounts receivable balances to determine if all accounts are being paid in full. To…
New York hospitals said CMS' proposal to cut reimbursements nationwide to reflect alleged upcoding of services is unfair and would cause $250 million a year in losses in New York alone, according to a report by Crain's New York Business.
Inglewood, Calif.-based Prime Healthcare Services will pay $1.2 million to settle an investigation by state regulators for improperly balance billing HMO patients for services not covered by their insurers, according to a report by the San Francisco Gate.
The Centers for Medicare & Medicaid Services will host a national provider conference call on ICD-10 implementation and HIPAA Version 5010 on Tuesday, June 10, from 12:00 p.m. to 2:00 p.m. EST.
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April Sackos, director of business office operations for Meridian Surgical Partners, shares six common mistakes made during the collections process and offers insight on how to avoid making them in your ASC.
A bill introduced by New Jersey State Senator Nia Gill would criminalize the waiver of co-payments and deductibles by healthcare providers in the state.
The Centers for Medicare & Medicaid Services has issued its proposed rule for inpatient and long-term acute care hospital prospective payment system payments, which take into account many provisions from the Patient Protection and Affordable Care Act, according to a…
CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.ASCs are leaving money on the table if they are not billing for limited arthroscopic shoulder debridement when warranted, according to Cristina…
CPT copyright 2009 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.Q: We are receiving regular denials when coding for the aqueous shunt procedure. What might be the cause of this?