Here are 10 key principles to follow when you are contracting with third-party payors.
ASC Coding, Billing & Collections
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…
Members of Blue Cross/Blue Shield (BCBS) will be responsible for 5 percent more of their out-of-network, elective surgery costs in 2009 than they were responsible for in 2008, according to a benefit plan letter sent by BC/BS to its members.
Here are best practices and guidelines for the correct coding and billing of five common gynecology procedures performed in ASCs.
Here are 10 interesting accounts receivable (A/R) statistics for surgery centers, from the 2008 VMG Health Intellimarker.
There is no doubt that the U.S. healthcare system will transition to ICD-10. Whether it happens in 2011, as proposed by the Centers for Medicare & Medicaid Services (CMS), or at a later date, it is coming. The potential benefits…
