Category: ASC Coding, Billing and Collections

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

The Biden administration has announced the first 10 medications that will be subject to price negotiations with Medicare under the Inflation Reduction Act. 

The Biden administration has revealed the first 10 medications that will be subject to price negotiations between manufacturers and Medicare under the Inflation Reduction Act, according to an Aug. 29 report from CNBC.

The American Hospital Association, which represents 5,000 member hospitals, 270,000 affiliated physicians and 2 million nurses and caregivers, has authored a letter in support of proposed House Resolution 4968, the GOLD Card Act of 2023. 

CMS has proposed a new Medicare physician payment schedule for 2024, addressing topics from anesthesia conversion rates to merit-based payment systems. 

UnitedHealthcare is the largest insurer in the U.S., according to a July 2023 report from Value Penguin. 

Oncologist William Harwin, MD, former president and managing partner of Fort Myers-based Florida Cancer Specialists & Research Institute, has pleaded guilty in a conspiracy to allocate oncology treatments for cancer patients. 

Cigna Healthcare is removing nearly 25 percent of medical services from prior authorization requirements, cutting more than 600 codes. 

 Here are three health system and payers splits since May: 

The California legislature is considering a bill that would prohibit prior authorizations for any healthcare service if the plan or insurer approved or would have approved not less than 90 percent of the prior authorization requests a provider submitte…