Category: ASC Coding, Billing and Collections

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. 

Here's what the most commonly performed ASC procedure costs at ASCs vs. HOPDs

The most commonly performed ASC procedure is an extracapsular cataract removal with insertion of intraocular lens prosthesis, according to data from Definitive Healthcare. The average cash price of a cataract eye surgery is $2,733 at ASCs, versus $3,99…

5 recent CMS updates to know

Here are five updates from CMS that Becker’s has reported on since June 6:

Why a lack of ASCs could be driving up healthcare costs in Massachusetts

Massachusetts’ high healthcare prices and the financial burden it has consequently placed on patients is causing state lawmakers to take a hard look at healthcare spending, WBUR reported June 8.

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.