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.
Category: ASC Coding, Billing and Collections
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.
The obstacle stifling ASC growth
Certificate-of-need laws vary by state and consequently can have a huge impact on ASC development in each region.
'Not much squeezing left to be done': Why ASC reimbursements need to increase
Some leaders believe payers will be forced to increase ASC reimbursements as they become more lucrative amid healthcare’s shift to value-based care.
Value-based care could be ASCs' secret to success
As a low-cost site of service, ASCs could benefit as value-based care’s influence in healthcare heightens.
How 4 CMS updates from this month will impact ASCs
July has been a busy month for CMS, from facing Congressional pressure on a prior authorization overhaul to the addition of dental surgical codes in its prospective payment system proposal for 2024. Here is how four changes floated in the last 30 days …
