ASC Coding, Billing & Collections

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…

Here are 10 common ASC procedures, listed by CPT code and description, with the Medicare reimbursement rates from the highest and lowest reimbursing state, according to SDI’s 2008 Outpatient Surgery Center Market Report.

According to the VMG Health 2008 Intellimarker, here is an analysis of accounts receivable for all ASCs, followed by a breakdown by revenues. Note: A/R dollars are in thousands.

Contract negotiations adhere to a rule that 80 percent of time should be used to prepare for the negotiation and 20 percent to negotiate. To help be more effective in achieving results when you actually need to sit down at…

While ASC facilities can expect a reduction in reimbursement in the specialties of pain management and GI in 2009, general surgery sees several procedures new to CPT and also some to the Medicare-approved procedures list which may offer reimbursement opportunities.…