Category: ASC Coding, Billing and Collections

Reimbursement woes continue to bog down physicians

Reimbursement issues remain one of the top challenges for physicians across specialties.

UnitedHealthcare launches round 2 of prior authorization cuts: What ASCs should know

In August, UnitedHealthcare announced plans to reduce 20% of its prior authorization requirements for its members and member physicians beginning on Sept. 1. 

Noncompetes by the numbers

Here are five key numbers about noncompetes to know:

Another state proposes near-total noncompete ban: 5 things to know

A bill has been introduced in the Wisconsin Legislature that would ban most noncompete agreements, the Wisconsin Law Journal reported Oct. 31. 

Mutual of Omaha, Wellcare launch Medicare Advantage plan

Mutual of Omaha has formed a strategic alliance with Wellcare, the Medicare Advantage brand owned by Centene Corp., to offer jointly designed Medicare Advantage plans for the 2024 plan year. 

Medicare Advantage plan to end coverage in 2 California counties

Residents in California-based Napa and Sonoma counties with Medicare Advantage plans through Senior Care Action Network will no longer have coverage beginning on Dec. 31, according to an Oct. 27 report from the Press Democrat. 

The Stark law by the numbers

Here are five key numbers relating to Stark law to know:

Cigna in headlines: 10 updates in 60 days

Cigna, the fourth-largest insurer in the U.S. by membership, has received accolades — and scrutiny — in the last two months. 

Former Medicare Advantage organization executive charged in $53M fraud scheme 

A former executive of Medicare Advantage organization HealthSun Health Plans has been charged for her alleged role in a $53 million fraud scheme.

The physician specialty with the lowest 5-year pay jump

Pediatric surgical physicians saw a 5.7% jump in total cash compensation over the last five years, according to SullivanCotter’s 2023 “Physician Compensation and Productivity Survey.”