Category: ASC Coding, Billing and Collections

ASCs sharpen strategies to combat payer behavior

ASCs are facing obstacles from payers in many markets to receive the reimbursements leaders say are needed to meet margins. Here is how many leaders are shifting their strategy.

Where 5 presidential candidates stand on Medicare Advantage

As of the beginning of December, 13 candidates remain in the race for president, including seven Republicans, three Democrats and three independent party members, according to NBC News. 

Texas physician sentenced to prison for opioid scheme

Oscar Lightner, MD, a physician at a Houston pain management clinic, was sentenced to seven years in prison for operating a clinic that sold illegal prescriptions. 

Ascension joins BCBS Oklahoma's Medicare Advantage network

Tulsa, Okla.-based Ascension St. John has joined Blue Cross Blue Shield of Oklahoma’s Medicare Advantage network, according to a Nov. 30 report from the Owasso Reporter.

Georgia Senate committee backs repeal of certificate-of-need laws

A Georgia Senate committee has recommended the repeal of certificate-of-need laws in their entirety, according to a Nov. 29 report from the panel. 

Washington clinic pays $644K to settle allegations it overbilled Medicare, Medicaid

Tumwater, Wash,-based sleep disorder practice Innovative Sleep Centers will pay $644,562 to resolve allegations it improperly billed Medicare and Medicaid. 

BCBS Texas to expand Medicare Advantage coverage

Blue Cross Blue Shield of Texas is expanding its Medicare Advantage coverage for 2024, entering 80 additional counties in the state. 

Florida pushes noncompete ban for physicians

A proposed bill in the Florida House would eliminate noncompete agreements for physicians, NBC affiliate WCTV reported Nov. 29.

5 CMS moves shaping the ASC industry 

Here are five recent CMS moves that are shaping the ASC industry:

Behind the ASCs facing certificate-of-need obstacles in 2023

Certificate-of-need laws, which require healthcare providers to receive government permission to build facilities, are an obstacle for ASC growth in many markets.