Category: ASC Coding, Billing and Collections

Payers cutting prior authorizations: 3 major moves to know

Three major payers have cut prior authorization requirements in August:

3 Stark law updates affecting ASCs

Here are three Stark law updates that may affect ASCs: 

5 largest payers by market share

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

The new prior authorization rules going into effect Sept. 1

On Sept. 1, UnitedHealthcare will begin its two-phased approach to eliminating prior authorization requirements. 

Cigna in the headlines: 9 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. 

3 most used medications on Medicare price negotiation list

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

1st 10 drugs subject to payer negotiations under controversial 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.

AHA issues letter of support for 'gold card' legislation

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. 

Inside CMS' 2024 proposed pay schedule: 5 things to know

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

5 largest health insurance companies by membership

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