Category: ASC Coding, Billing and Collections

The legal landscape is growing increasingly hostile to noncompete agreements, according to a Sept. 27 article in JDSupra by law firm Dorsey & Whitney. 

The ASC industry is constantly evolving, and one of the major players in its evolution is CMS. 

This year, eight major U.S. health systems have canceled their Medicare Advantage contracts, often citing low reimbursement rates and prior authorization hassles. 

CMS settled a record number of 104 Stark law self disclosures in 2022, totaling more than $9.2 million, according to a Sept. 18 JDSupra report from law firm McGuireWoods. 

Four physicians joined Becker’s to discuss the Stark law trends they are eyeing. 

The cost of common medical procedures are as much as 58 percent more expensive when performed in hospital outpatient departments compared with ASCs or physicians’ offices, according to an analysis by the Blue Cross Blue Shield Association. 

Value-based care has become one of the most-used buzzwords in healthcare. But how does it apply to ASCs? 

Here are eight updates on six of the U.S.’ largest payers that ASC leaders should know:

As part of its 2022 end-of-the-year spending package, Congress passed the NOPAIN Act, set to take effect in 2025, that will set up a separate Medicare payment for certain non-opioid pain management approaches in outpatient and ASC settings, according t…

The 7th Circuit Court of Appeals remanded a district court’s dismissal of an antitrust case that could have implications for noncompete agreements, according to a Sept. 8 JDSupra article from law firm Shearman & Sterling.