In today’s rapidly evolving healthcare landscape, ambulatory surgical centers (ASCs) are facing new payer trends that are reshaping the way they are reimbursed for their services.
ASC Coding, Billing & Collections
Most hospitals aren't complying with federal price transparency rules that went into effect January 2021, with few consequences, according to the Fourth Semi-Annual Hospital Price Transparency Report from the PatientRightsAdvocate.org.
Hudson, Ohio-based physician Deepak Raheja, MD, was sentenced to prison and must pay $2.2 million after pleading guilty to his role in a pharmaceutical kickback scheme, the U.S. Justice Department said Feb. 3.
UnitedHealthcare made changes to its outpatient procedure group mapping that went into effect Jan. 1.
CMS updated ASC payment rates to 3.8 percent, the most critical reimbursement shift in 2022, according to VMG Health's "ASCs in 2022: A Year in Review" report released Jan. 26.
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The top ASC procedure makes up 20.4 percent of total Medicare payments in 2022, according to a Jan. 26 report from VMG Health.
The Blue Cross Blue Shield Association released a policy statement backing site-neutral payments as a key focus for saving billions of dollars in the next decade.
CMS will reimburse ASCs for four new procedures in 2023, according to a Jan. 23 report from VMG Health.
Medicare payments for the top 10 CPT codes are projected to increase by 3.9 percent in total in 2023, according to a Jan. 23 report from VMG Health.
ASCs are the fourth most common location for No Surprises Act disputes that occurred between April 15 and Sept. 30, according to CMS' initial report on the independent dispute resolution process.