Cataract removal was the most common ASC procedure by the total number of charges in 2022, according to July 26 data from Definitive Healthcare.
Category: ASC Coding, Billing and Collections
How much time do physicians spend on prior authorization?
In 2022, 39 percent of physicians spent one to nine hours on prior authorizations weekly, according to Medical Economics’ “94th Physician Report” released Aug. 4.
Does prior authorization actually reduce costs?
The administrative costs of healthcare, including prior authorizations, are estimated to make up 20 to 34 percent of healthcare expenditures, according to an Aug. 4 report from the American Enterprise Institute, a public policy think tank.
Some payers cut prior authorizations, others double down
2023 has been a tumultuous year when it comes to prior authorizations, as some payers have repealed major barriers to procedures, while others have added new rules.
Negotiating favorable payer contracts: 'huge challenge' for ASCs
Successful negotiations and favorable contracts with payers is the first step before surgical centers can sustainably function and grow, and navigating this process can be difficult and time-consuming.
Noncompete agreements: What physicians should know in 2023
Here are seven things physicians should know about noncompetes in 2023 so far:
St. Louis physician accused of fraud
St. Louis-based physician Sonny Saggar, MD, was arrested on an indictment accusing him of healthcare fraud, the U.S. Justice Department said July 27.
Physicians are fed up with prior authorization. Here's what they want.
Prior authorization has continued to be a thorn in the sides of physicians nationwide.
UnitedHealthcare to reduce prior authorization by 20%
On Sept. 1, UnitedHealthcare will begin a two-phased approach to eliminate prior authorization requirements for several procedure codes.
This trend could reduce the number of ASCs
Anesthesia costs are skyrocketing, and some ASCs are worried about sustainability of these issues if payer reimbursements do not adjust.
