Pittsburgh-based Highmark, Pennsylvania's largest Blues-affiliated insurer, is protesting an information request from the state insurance department, saying that the state is overstepping its authority in conducting reviews of the state's four Blues carriers, according to a report in American Medical…
ASC Coding, Billing & Collections
More than 500 physicians participated in a discussion, "FTC - Refusal to accept Medicare pricing = Price Fixing," on Sermo, an online community for physicians, according to a Sermo news release.
Billing is one of the most critical (and often overlooked) processes in the success of every surgery center. Most people involved in directing and operating ASCs know that billing and coding require daily attention to detail, trained staff and a…
The Centers for Medicare and Medicaid Services has posted two updated answers in its frequently asked questions section of its Web site related to Condition Code 44 (Inpatient admission changed to outpatient).
The Centers for Medicare & Medicaid Services has made available a file that lists the National Provider Identifier and the name of all physicians and non-physician practitioners who are eligible to order and refer in the Medicare program and who…
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Anthem Blue Cross, California's largest for-profit health insurer, is raising premiums for individual insurance policies by 30-39 percent on March 1, according to a report by the Los Angeles Times.
Gastroenterology and endoscopy can be profitable and successful services for your ASC, provided volumes are high and centers maximize their reimbursement. For this reason, it is important for ASCs to keep denials for these procedures low.
Responding to an earlier report, officials from Blue Cross Blue Shield of Massachusetts said it will not pay for phone calls made by physicians or other healthcare providers, according to a report in The Patriot Ledger.
The Centers for Medicare and Medicaid Services has issued Transmittal 620 to address improper payments in areas discussed in four reports released by the Office of the Inspector General.
Here is the average payor mix as a percent of gross charges for surgery centers based on their region, according to VMG Health's 2009 Intellimarker.