Category: ASC Coding, Billing and Collections

Here are six prior authorization stories Becker’s has reported on since May 11:

UnitedHealthcare’s 2023 site-of-service policy, which went into effect April 1, could push procedures to the ASC setting. 

Payers are continuing to look at ASCs as a way to cut costs, leaders said at a March 22 California Ambulatory Surgery Association summit with payers and industry stakeholders. 

While the ASC industry as a whole has opportunity for growth, Raghu Reddy, chief administrative officer of Cumberland-based SurgCenter of Western Maryland, is concerned about the lack of accountability for payers. 

The U.S. sued a plastic surgeon formerly of Tri-State Specialists in Sioux City, Iowa, for violating the False Claims Act.

ASC reimbursements in many markets are not keeping up with the rising cost of inflation and general costs of living. 

National Medical Billing Services rebranded to nimble solutions to align with its core values of agility, innovation and client-centricity.

Washington offers physician assistants the highest hourly mean wage, according to the most recent Bureau of Labor Statistics occupational employment statistics survey.

Matt Mazurek, MD, assistant clinical professor of anesthesiology and director of quality and safety at St. Raphael’s Campus of Yale New Haven (Conn.) Hospital, joined Becker’s to discuss physicians’ biggest reimbursement issues. 

CMS has issued a final rule to help streamline Medicare Advantage and Part D prior authorizations.