Physicians are spending more time than ever on prior authorizations for treatments and procedures, which many say has a negative impact on patient care.
Category: ASC Coding, Billing and Collections
CMS' new hospital capacity ruling: 5 things ASCs need to know
CMS began requiring hospitals to report specific admission information on Nov. 1.
CMS updates ASC reporting requirements: 5 things to know
On Nov. 1, CMS finalized the 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System rule, confirming a 2.83% physician pay cut.
CMS inks 2.83% physician pay cut: 5 things to know
CMS finalized a 2.83% physician pay cut in its 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System released on Nov. 1.
CMS's 2025 ASC pay rule 'a step sideways'
CMS issued the 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System final rule Nov. 1, with slight pay bumps in each setting despite continued inflation and specialist shortages.
Bill introduced to stabilize Medicare payments: 3 notes for ASC leaders
House Rep. Greg Murphy, MD, has introduced a bill that would stabilize pay under Medicare for 2025.
Physicians vs. rising claims denials: 5 things to know
Denials of claims are increasing, along with the administrative burden of managing them.
How this New York ASC secured payer leverage
ASCs and hospitals are increasingly joining forces as healthcare consolidation accelerates, and more procedures shift to outpatient settings, driven by payer preferences and patient demand for lower-cost alternatives.
'Penalties of convenience' for electronic payments: 7 things to know
In an Oct. 16 opinion piece published in MedpageToday, Nehad Soloman, MD, a Glendale, Ariz.-based rheumatologist writes that fees for electronic fund transfers on payments made at medical practices “cut into practices’ often razor-thin margins as they …
ASC physician lawsuit could upend North Carolina CON policy
The North Carolina Supreme Court’s recent ruling on a physician’s certificate-of-need lawsuit could lead to an unraveling of the policy, NBC affiliate WRAL reported Oct. 18.
