ASC Coding, Billing & Collections

Here are 10 updates on payer policies, executive moves and other news in February for ASC leaders to know: 

As the healthcare industry continues its shift toward value-based payment models, ASCs could be poised to be major beneficiaries of this transformation. 

As more high-acuity procedures continue to migrate to ASCs, some less-invasive procedures have transitioned into office-based settings.

While some physicians contemplate a shift to independent practice as satisfaction in employed settings declines, compensation remains a central concern for those considering the jump to independence. 

Rachel Yount, an attorney with Mintz specializing in federal anti-kickback statutes, Stark law, and state fraud and abuse laws, joined Becker's to discuss how Stark law enforcement evolved under the previous Trump administration and what might be expected during his…

The gap between physicians and payers continues to widen as administrative burdens, delayed reimbursements and restrictive policies challenge the ability to provide patient care.

Physicians are voicing growing frustration with payer policies that delay payments, deny necessary care and add administrative burdens. 

Rep. Jeff Van Drew has introduced a bill that would ban prior authorization across health plans.

The high costs of surgical implants have been identified as a profitability-killer for ASCs. 

The Department of Justice has recently intensified its efforts to combat healthcare fraud, calling for increased diligence among physicians, according to Amanda Hill, founder of Hill Health Law Group, in an article published in Bloomberg Law Feb. 11.