Category: ASC Coding, Billing and Collections

Certificate-of-need laws stunt ASC growth — but change in some states may be imminent 

The growth of ASCs reflects their status as a proven model for high-quality procedures and low costs, but their development faces a considerable obstacle in many markets: certificate-of-need laws. 

UnitedHealth in the headlines: 8 updates in 60 days

UnitedHealth Group, parent company of ASC management company United Surgical Partners International, has continued its growth, both in terms of revenue and number of affiliated physicians. 

'When we got into this game, it was all just ophthalmology': The complications of ASC billing

Philip Blair, CEO of Surgery Center Services of America, spoke with Becker’s about his ASC companies’ biggest growth targets and why cardiology is so important for ASCs. 

CMS adds physician owner waiver for Stark law

CMS added a Stark law waiver for physician owners of independent free-standing emergency departments that served Medicare patients during the COVID-19 pandemic, according to an article written by three attorneys from the firm McDermott, Will & Emer…

The 20 largest payers by claims

California-based Kaiser Permanente Health Plans is the largest payer in the U.S., covering about 9,257,115 patients and incurring $48.19 billion in claims, according to data published Feb. 20 by Definitive Healthcare. 

'They don't really know who we are': Why Texas legislators are being hostile to ASCs

Texas ASC leaders are seeing a growing amount of hostile state legislation. 

Behind Texas' 'unfriendly legislative session' to ASCs

Texas’ price transparency laws are burdening ASCs, many leaders say. 

Why some physicians are breaking up with Medicare

Sixty-five percent of physicians plan to continue treating Medicare and Medicaid patients, according to Medscape’s “Physician Compensation Report 2023,” a 6 percent decrease from last year’s report.

Prior authorizations & ASCs: 5 notes

Here are five updates about prior authorizations that ASCs need to know:

How CMS' reimbursement policies have helped, hurt ASCs in 2023

CMS’ policies have the power to turn the tide of the surgery center industry. Here is how those policies have both helped and hurt ASCs in 2023.