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ASC Coding, Billing & Collections

Due to a software problem, the Centers for Medicare and Medicaid Services is requesting that the public resubmit comments made on the Hospital Outpatient Prospective Payment System/Ambulatory Surgical Center Payment System, originally submitted through www.regulations.gov, according to a CMS news…

With Recovery Audit Contractors dedicated to making significant recoveries from healthcare providers, it is critical that all providers are compliant with Medicare coding and reimbursement requirements. Upfront compliance is essential to avoiding overpayments and/or underpayments as a result of incorrect…

Editor's Note: This article by Paul Cadorette, director of education for mdStrategies, originally appeared in The Coding Advocate, mdStrategies free monthly newsletter. Sign-up to receive this newsletter by clicking here.

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Eveia Health Consulting and Management noticed that its clients were struggling with determining the out-of-pocket amounts due from patients, especially Medicare beneficiaries who were affected by the recent changes in the Medicare ASC payment methodology and the complexities that exist…

In today's economically challenging environment, it's imperative that your facility is billing and collecting the maximum reimbursement possible (while still remaining compliant). While there are no miracles to increase your bottom line, there are plenty of practical and inventive measures…

The American Medical Association has released its second annual National Health Insurer Report Card, which measures health insurers on the timeliness, transparency and accuracy of their claims processing.

Accelerating the "revenue cycle" reduces the time it takes to get paid and thereby reduces the accounts receivable balance on the balance sheet (increasing cash). This article identifies 10 sticking points in the ASC revenue cycle, each of which may…

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