ASC Coding, Billing & Collections

After an extensive evidence review, CMS has announced a proposal to revise its existing coverage policy for bariatric surgery to include type 2 diabetes as one of the co-morbidities CMS would consider in determining whether bariatric surgery would be covered…

Medicare is struggling to get reimbursement to physicians in California, Nevada and Hawaii, according to the Los Angeles Times, and the effects could be devastating.

With regard to Scott Becker's post-election observations, there are several points that need to be made with regard to payor systems. First and foremost, I agree that the election of Barack Obama is truly momentous and represents hope and inspiration…

In these challenging economic times, there are several driving forces causing ASCs to scrutinize their cash flow. Threats to this necessary financial lifeline are abundant. What are measures you can take to protect the financial viability of your center? One…

Efficient billing and collections is critical to the success and profitability of your center, and any efforts you make to improve efficiency can help you better capture money you earn and avoid your leaving money on the table. To help…

With eight sinuses, six turbinates and two separate nasal cavities to consider, coding for nasal and sinus endoscopies can be quite a complicated undertaking. Here are five tips to help you code your functional endoscopic sinus surgery (FESS) procedures accurately.

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…