Category: ASC Coding, Billing and Collections

Cigna healthcare is expanding its Medicare Advantage plans to patients in Nevada for the first time, launching in two counties in the Las Vegas area. 

This year, the U.S. Office of the Inspector General conducted an audit of insurer Aetna’s Medicare Advantage program to ensure that selected diagnosis codes Aetna submitted to CMS for use in CMS’ risk adjustment program complied with federal requiremen…

Fredericksburg, Va.-based Mary Washington Healthcare will no longer offer Medicare Advantage plans beginning next year, citing rising costs, operational challenges and the impact of COVID-19, according to an Oct. 11 report from The Free Lance-Star.

Louisville, Ky.-based Baptist Health could be going out of network with UnitedHealthcare for certain Medicare enrollees after its contract with the payer expires on Jan. 1, according to an Oct. 6 report from WDRB.

Cleveland, Ohio-based University Hospitals has launched a co-branded Medicare Advantage Plan for individuals in three Ohio counties in partnership with PrimeTime Health Plan. 

UnitedHealthcare is one of the country’s largest payers and the parent company of Optum. 

UnitedHealth Group is one of the country’s largest payers and the parent company of Optum. 

ASCs are not the only entities that struggle to strike deals with payers. 

Almost 30 million U.S. workers have noncompete provisions in their contract, according to an Oct. 4 report from U.S. News & World Report.

Maryland employers are barred from noncompete provisions for certain employees, according to an Oct. 3 article about state and local employment developments published in JDSupra and written by law firm Faegre Drinker Biddle & Reath.