ASC Coding, Billing & Collections

Here are five payer updates Becker's has reported on since June 12: 

Here are three notes pointing to payers pushing procedures to ASCs:

Here are six prior authorization stories Becker's has reported on since May 11:

UnitedHealthcare’s 2023 site-of-service policy, which went into effect April 1, could push procedures to the ASC setting. 

Payers are continuing to look at ASCs as a way to cut costs, leaders said at a March 22 California Ambulatory Surgery Association summit with payers and industry stakeholders. 

While the ASC industry as a whole has opportunity for growth, Raghu Reddy, chief administrative officer of Cumberland-based SurgCenter of Western Maryland, is concerned about the lack of accountability for payers. 

The growing number of ASCs that choose to outsource their billing have options. ASC billing companies usually offer similar services and promise similar results like endto-end revenue cycle management, strengthened bottom-line performance and increased efficiency. These are all important deliverables…

The U.S. sued a plastic surgeon formerly of Tri-State Specialists in Sioux City, Iowa, for violating the False Claims Act.

ASC reimbursements in many markets are not keeping up with the rising cost of inflation and general costs of living. 

National Medical Billing Services rebranded to nimble solutions to align with its core values of agility, innovation and client-centricity.