Category: ASC Coding, Billing and Collections

The average Medicare Advantage beneficiary can choose from a total of 43 plans for the 2024 enrollment period, the same number of plan options as 2023, according to data from KFF published Nov. 8. 

California has the largest number of providers accepting UnitedHealthcare insurance plans statewide, in addition to having more ASCs than any other state, according to the most recent data from the payer’s website. 

Here are three updates on UnitedHealthcare that Becker’s has reported since Nov. 1:

Here are three recent rulings from CMS that affect ASCs: 

Pediatric intensivist David Lankford, MD, is suing his former employer, Fort Wayne, Ind.-based Lutheran Hospital, to get out of a noncompete clause in his contract, local PBS affiliate WFYI reported Nov. 2. 

In August, Greenville, S.C.-based Prisma Health warned its patients that starting Jan. 1, the health system might be out of network with UnitedHealthcare. Now, as the negotiation deadline looms, it seems more and more likely, according to a Nov. 3 repo…

The average cost of employing a provider full time in the third quarter of this year was $611,194, representing a rising cost of labor, according to data from Kaufman Hall.

The average revenue earned by physicians and advanced practice providers via treating patients is on the rise, according to data from Kaufman Hall.

CMS added 11 procedures to the ASC-covered list in the ASC Payment System Final Rule released Nov. 2 that were not included in the proposed rule. 

CMS has finalized a 3.1% payment rate for ASCs.