Category: ASC Coding, Billing and Collections

What every physician should know about Stark law

Many physicians have experienced challenges stemming from Stark law, which bans them from making referrals for Medicare-payable health services if the physician or immediate family member has a financial relationship with the entity. 

Which states have banned noncompetes?

Earlier this year, New York Gov. Kathy Hochul vetoed a bill that would’ve banned noncompetes and added the state to a short list of those prohibiting noncompetes. 

The payer trends defining ASCs

Two ASC leaders joined Becker’s to discuss the payer trends that are affecting ASCs in the most significant ways at the moment. 

What ASCs can expect from CMS' latest prior authorization ruling

CMS has finalized prior authorization and electronic health information policy updates that are expected to create approximately $15 billion in savings over the next 10 years. 

nimble solutions appoints CEO

St. Louis-based nimble solutions, an ASC revenue cycle management company, named Kelley Blair CEO.

Bill aims to push price transparency to ASCs

A bill that would strengthen healthcare price transparency at ASCs has been introduced in the Senate, according to a news release from Indiana Sen. Mike Braun. 

ASC suit accusing Elevance of $5.4M+ in unpaid claims revivedĀ 

A circuit court has reinstated a suit from the Costa Mesa, Calif-based South Coast Specialty Surgery Center accusing Blue Cross of California, which does business as Anthem Blue Cross, of racking up more than $5.4 million in unpaid claims. 

The payer behavior physicians want changed

Five physician leaders joined Becker’s to discuss the payer behavior they’d like to see changed in 2024. 

3 payer rules that took effect Jan. 1

This year is shaping up to be a big one for major U.S. payers, with several new rules going into effect. 

How ASC leaders, physicians are navigating payer relations in 2024

The ever-changing payer landscape requires leaders to be nimble in order to navigate it successfully.