Category: ASC Coding, Billing and Collections

Ohio bill seeks to improve prior authorization process

The Ohio Legislature has introduced a new bill designed to streamline the prior authorization process by giving a yearlong exemption to providers who have an average of 80 percent or more of their requests approved, according to a June 12 report from N…

Aetna in the headlines: 4 updates in 60 days

Here are four stories Becker’s has covered about CVS Health’s insurance company, Aetna, since April 20: 

Physicians want a noncompete ban now. Here's why. 

The American Medical Association is taking action to ban noncompete contracts for physicians employed by for-profit or nonprofit hospitals, hospital systems or staffing company employers, according to a June 13 blog post from the AMA. 

2 payers delaying policy changes following industry pushback

Two major national payers, UnitedHealthcare and Cigna, recently switched or delayed planned policies due to pushback from industry leaders, patients and physicians. 

Why 'ASCs will be squeezed out' of healthcare if things don't change

The future of ASCs heavily depends on the outcome of the struggle for better payments.

Connecticut set to loosen physician noncompete requirements: 5 things to know

The Connecticut Legislature has passed a bill amending the state’s physician noncompete statute, attorney Justin Theriault of law firm Jackson Lewis P.C. wrote in an article published by JDSupra on June 12. 

6 major payers secure spot on Forbes' Global 2000

Forbes has released its annual Global 2000, a ranking of the world’s largest companies based on metrics including sales, profits, assets and market value. 

Supreme Court false claims ruling could raise stakes for physician billing

The Supreme Court voted unanimously to reopen two false claims cases, issuing an opinion that could expand antifraud statute scope, Medscape reported June 13. 

Aideo, Surgical Notes partner for AI medical coding

Artificial intelligence-powered coding services provider Aideo Technologies has partnered with Surgical Notes, a leader in providing billing solutions for ASCs, to bring AI-powered medical coding workflow and productivity solutions to the ASC market.&n…

Physician indicted in $4M+ Medicare fraud scheme

Physician David Becerril, MD, has been charged with 16 counts for his role in a telemarketing scheme that allegedly defrauded Medicare of more than $4 million.