N.Y. Attorney General Andrew Cuomo reached an agreement with Excellus Health Plan and Capital District's Physician Health Plan over flawed out-of-network reimbursement processes, according to a news release from his office.
ASC Coding, Billing & Collections
The Medicare Payment Advisory Commission recommended a 0.6 percent increase in ASC payments for 2010 in its March report to Congress.
The New York State Department of Health delayed the implementation of its Ambulatory Patient Groups Medicaid payment methodology, which was originally scheduled to begin March 1, according to a report by the DOH.
Rick S. Mohler of RSM Consulting (Indianapolis): It seems to me that until Congress recognizes that tort reform is the single most important issue that should lead to reduction in healthcare cost, little else will have much impact. As for…
Q: A workers' compensation carrier (U.S. Department of Labor) has refused payment on our standard microdiscectomy code, saying that, per Medicare's standards, this is not considered a procedure that Medicare approves payment on in a medical facility such as an…
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1. Control of bleeding not separately billable. The control of bleeding is included in biopsy (and most other) endoscopic procedures, and is not separately billable unless the patient comes into the facility with a GI bleed, which is the reason…
The final Medicare Conditions for Coverage were published Oct. 30, 2008, with an effective date of May 18, 2009. This is the first major change to the Conditions since they were initially adopted in 1982 and therefore will impact all…
CIGNA has agreed to end its relationship with the Ingenix database and pay $10 million towards the development of a new database, according to a news release from the N.Y. Office of the Attorney General.
As "out of pocket" expenses continue to climb for patients, providers must do everything they can to make it easier for patients to pay their bills. Those medical facilities that succeed will reap the benefits of improved cash flow and…
N.Y. Attorney General Andrew Cuomo announced a settlement with the nation’s largest health insurer, Indianapolis-based Wellpoint over allegations that the insurer manipulated reimbursement rates, according to news releases.