ASC Coding, Billing & Collections

Harry Severance, MD, an adjunct assistant professor at Durham, N.C.-based Duke University School of Medicine, joined Becker's to discuss how physicians can leverage their power. 

Physicians and ASCs continue to raise concerns about the adequacy of Medicare reimbursement as operating costs continue to soar. 

MedPAC advocated for site-neutral pay for 66 outpatient procedures in a June 15 report, lowering 57 procedures to the office-based care rate and nine procedures to ASC rates.

Here are five healthcare antikickback cases to know from the last month:

The Ohio Legislature has introduced a new bill designed to streamline the prior authorization process by giving a yearlong exemption to providers who have an average of 80 percent or more of their requests approved, according to a June 12…

Here are four stories Becker's has covered about CVS Health's insurance company, Aetna, since April 20: 

The American Medical Association is taking action to ban noncompete contracts for physicians employed by for-profit or nonprofit hospitals, hospital systems or staffing company employers, according to a June 13 blog post from the AMA. 

Two major national payers, UnitedHealthcare and Cigna, recently switched or delayed planned policies due to pushback from industry leaders, patients and physicians. 

The future of ASCs heavily depends on the outcome of the struggle for better payments.

The Connecticut Legislature has passed a bill amending the state's physician noncompete statute, attorney Justin Theriault of law firm Jackson Lewis P.C. wrote in an article published by JDSupra on June 12.