ASC Coding, Billing & Collections

Recent rulings from the CMS offer an opportunity to reevaluate specialty mixes, surgical offerings and professional practice offerings against existing managed care contracts to ensure revenue cycle health. 

Here are five key things to know about value-based care going into 2023:

Chicago-based Benjamin Toh, MD, has been charged for his role in a more than $9.5 million healthcare fraud scheme, the Justice Department said Dec. 14. 

Springfield (Ill.) Clinic, a multispecialty physician practice with an ASC, launched a health plan, according to a Dec. 8 report from the Illinois Times.

Here are four leaders' thoughts on reimbursements:

Here are four Cigna updates reported on by Becker's since Oct. 21:

Here are six updates from UnitedHealthcare, one of the largest payers, since Nov. 17:

Here's how much physicians were paid on average over the last five years, pulled from Medscape's physician compensation reports:  

Two leaders joined Becker's to discuss whether payers are pushing procedures to ASCs and other outpatient settings. 

Payers are increasingly issuing policies that push patients outside of hospital settings, according to Laren Tan, MD, chair of Loma Linda (Calif.) University Health's department of medicine.