ASC Coding, Billing & Collections

The American Medical Association (AMA), along with several state medical associations, have filed two separate class-action lawsuits against Aetna Health and CIGNA Corp. alleging that the companies underpaid physicians using flawed billing practices, according to an AMA news release.

Highmark and Independence Blue Cross in Pennsylvania have dropped their merger proposal, withdrawing their applications to the Pennsylvania Insurance Department.

Q: When coding neoplasms, I have always waited to receive the pathology report to report a diagnosis on the UB-04. I was taught to wait because the proper diagnosis of the neoplasm and the size of the specimen is needed…

Here are 96 questions in 23 categories you should address when considering and reviewing managed care contracts.

Here are 10 key principles to follow when you are contracting with third-party payors.

The U.S. Department of Health and Human Services (HHS) has issued a final rule that replaces the ICD-9-CM code set with ICD-10 code sets.

Here are 10 common mistakes that ASCs often make in third-party payor and patient billing, from Caryl Serbin, RN, BSN, LHRM, president and founder, and Judith English, vice president of business, of Serbin Surgery Center Billing and Surgery Consultants of…

Northstar Healthcare's Palladium-Houston Surgical Center is facing reimbursement difficulties with one of its most significant third-party payors, a challenge that is substantial enough to warrant the company suspending dividends on its common shares to ensure Northstar's debt-free financial position, according…

If you don’t know what it means for a carrier to “claims match,” then your facility is probably losing revenue. Did you know that most large carriers match (prospectively or retrospectively) your ASC CPT codes to the professional CPT codes…

The Center for Outpatient Surgery at Abbott Northwestern’s Sartell (Minn.) Outpatient Center is closing in January due to the struggling economy and reimbursement rates that were not sufficient to cover the costs of running the center, according to a report…