ASC Coding, Billing & Collections

Kaiser Permanente Health Plans was the largest payer by total incurred claims in 2021, according to data firm Definitive Healthcare. 

The effects of low reimbursement rates for procedures performed in ASCs continue to be a source of ongoing stress for physicians. 

As physicians face more reimbursement cuts, Kerry Willis, MD, is predicting payers will face backlash. 

Physicians are seeing continued pay cuts in 2023, and many leaders are worried about the sustainability of small practices as the healthcare industry consolidates. 

ASCs are historically reimbursed at lower levels than hospital outpatient departments, and as operating costs soar, many leaders are worried about how low reimbursements will affect their ability to meet margins. 

Outpatient visits are being billed at increasingly higher levels, according to a Feb. 27 analysis from the Peterson Foundation and Kaiser Family Foundation. 

The American Hospital Association is asking the FTC to withdraw its proposal to ban noncompete agreements. 

CMS is proposing to streamline and improve prior authorizations with new and added rules, according to a Feb. 21 Kaiser Family Foundation report. 

Pensacola, Fla.-based Timothy Ramsden, MD, has agreed to settle his alleged violation of the Controlled Substances Act with a $190,731 fine, the Justice Department said Feb. 22. 

Medscape laid out physician compensation stats for physicians under 40 in its "Young Physician Compensation Report 2022."