ASC Coding, Billing & Collections

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.

Aetna Inc. and United Healthcare will now cover laparoscopic sleeve gastrectomy, a newer method of bariatric surgery that is becoming increasingly popular as a treatment for morbid obesity, according to a news release from the American Society for Metabolic &…

In an effort to reduce rising healthcare costs, many Massachusetts health insurers are offering plans that mostly bar patients from receiving care at many more expensive hospitals, such as Massachusetts General and Brigham and Women's Hospitals, designed to encourage patients…

Glendale, Wis.-based Wheaton Franciscan Healthcare has started offering billing clinics where patients can make an appointment to meet one-on-one with a billing specialist to discuss outstanding questions related to patients' medical bills and financial responsibilities, according to a report in…

Blue Cross Blue Shield of Texas has implemented a new payment policy for out-of-network ASCs in which the insurer will send the entire reimbursement for services at OON facilities directly to the patient. Patients will then be responsible for sending…

The Centers for Medicare & Medicaid Services issued a notice to Aetna on April 5 of the agency's intent to impose an intermediate sanction to ensure that Medicare beneficiaries continue to have access to prescription drugs under Medicare's requirements, according…

In a market where case volumes are down, ASCs have focused on reducing costs and increased recruitment to keep margins steady. However, using data collected through your billing and collections department can help ASCs identify additional areas for improvement. Bill…