ASC Coding, Billing & Collections

Here are best practices for updating gastroenteorlogy coding and billing from Stephanie Ellis, RN, CPC, president of Ellis Medical Consulting.

Five providers in New York have paid fines and reimbursed the state more than $9 million for overpayments associated with waiving out-of-pocket costs for state and local government employees, but only four have agreed to halt the practice, according to…

Most offices leave from 5 to 42 percent of their potential reimbursement on the table because they either lack proper processes, are understaffed, their staff is not adequately trained or appropriately incented, or the office has not invested in appropriate…

Modifiers (usually 2-digits) are added to the main procedure code to signify that the procedure has been altered by a distinct factor. Modifiers are accepted by most payors. Modifiers can increase or decrease reimbursement. They can also cause claims not…

CMS has published online most of the edits utilized in its Medically Unlikely Edit (MUE) program to improve the accuracy of claims payments for Medicare Part B services.

Here is the average 2007 Medicare sub charge (submitted charges divided by allowed services), average allow charge (Medicare-allowed charges divided by allowed services, including co-pays and deductibles paid by patient), and average payment (Medicare payments divided by allowed services, not…

Here is the average 2007 Medicare sub charge (submitted charges divided by allowed services), average allow charge (Medicare-allowed charges divided by allowed services, including co-pays and deductibles paid by patient), and average payment (Medicare payments divided by allowed services, not…

Here is the average 2007 Medicare sub charge (submitted charges divided by allowed services), average allow charge (Medicare-allowed charges divided by allowed services, including co-pays and deductibles paid by patient), and average payment (Medicare payments divided by allowed services, not…

Here is the average 2007 Medicare sub charge (submitted charges divided by allowed services), average allow charge (Medicare-allowed charges divided by allowed services, including co-pays and deductibles paid by patient), and average payment (Medicare payments divided by allowed services, not…

Here are seven best practices from managed care contracting experts to help you get paid fairly by third-party payors.