Category: ASC Coding, Billing and Collections

ASCs could be payers' big ticket to growth: 5 notes

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. 

What happens if ASC reimbursement issues are not addressed? 

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. 

US sues surgeon over alleged 1,000+ fraudulent claims

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

The growing danger of shrinking ASC reimbursements

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

National Medical Billing Services rebrands to nimble solutions

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

What PAs are paid per hour in all 50 states 

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

The reimbursement issue causing 'resentment, anger and, frankly, a feeling of injustice'

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' new prior authorization final rule: 5 things ASCs need to know 

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

How Medicare is stifling ASC migration

CMS policies are stifling the migration of procedures to the outpatient setting, Bill Prentice, CEO of the Ambulatory Surgery Center Association, said at a California Ambulatory Surgery Association summit with payers and industry stakeholders. 

'This is not a sustainable reimbursement system': 1 leader on the No Surprises Act and pay discrepancies

Some healthcare leaders say the No Surprises Act, aimed to protect patients against balance billing and create cost transparency, has accelerated reimbursement issues.