ASC Coding, Billing & Collections

The Tennessee Medical Association is suing Franklin, Tenn.-based Health Research Insights, which was working to take back reimbursements paid to physicians in several states, alleging fraud and asking the state to stop HRI from collecting more money from physicians, according…

The Centers for Medicare & Medicaid Services has released three National Coverage Determinations, which state that CMS will not pay for surgical errors.

The Centers for Medicare & Medicaid Services has released its proposed payment rate and policy changes for ambulatory surgery centers and hospital outpatient departments for Jan. 1, 2010, according to a CMS news release.

Johns Hopkins Bayview Medical Center in Baltimore, Md., has agreed to pay $2.75 million to the United States Government to settle allegations that the hospital submitted false claims to federal healthcare programs, according to a news release from the United…

Department of Health and Human Services Secretary Kathleen Sebelius announced that the administration will rescind all or part of three Medicaid regulations that were previously issued and delay the enforcement of a fourth regulation, according to an HHS news release.

The Orthopedic and Reconstructive Center of Oklahoma in Oklahoma City has paid $3.5 million to settle claims by the federal government that it billed payors for medical procedures that were not performed, according to a report by The Oklahoman.

Louisville, Ky.-based Kindred Healthcare will pay $1.3 million will settle allegations that it overbilled TennCare, Tennessee's Medicaid managed care program, according to a report in the Nashville Business Journal.

Rep. Sam Farr (D-Calif.) has introduced a bill that would increase Medicare reimbursement to some California physicians, according to a report in the San Jose Mercury News.

In a letter to Sen. Edward Kennedy (D-Mass.) and Sen. Max Baucus (D-Mont.), President Obama said he was open to giving special considerations to Medicare Payment Advisory Commission recommendations, according to a report in the Wall Street Journal.

1. How do we define accounts receivable (A/R)? The easiest explanation is that it is money owed to the ASC by a patient for services already provided (a type of credit, i.e., unsecured promises by patients to pay in the…