Kaiser Permanente Health Plans was the largest payer by total incurred claims in 2021, according to data firm Definitive Healthcare.
Category: ASC Coding, Billing and Collections
3 ways reimbursement challenges put a strain on physicians
The effects of low reimbursement rates for procedures performed in ASCs continue to be a source of ongoing stress for physicians.
'Year of the rebellion': Will physicians strike back at the payer system?
As physicians face more reimbursement cuts, Kerry Willis, MD, is predicting payers will face backlash.
'We are in for continued disruption': Physician pay trends a Novant Health exec is eyeing
Physicians are seeing continued pay cuts in 2023, and many leaders are worried about the sustainability of small practices as the healthcare industry consolidates.
The Importance of Security When Outsourcing Your ASC Billing
When ASCs choose a billing partner, data security usually isn’t a reason driving the decision.
ASCs' reimbursement woes: What's worrying leaders in 2023
ASCs are historically reimbursed at lower levels than hospital outpatient departments, and as operating costs soar, many leaders are worried about how low reimbursements will affect their ability to meet margins.
Outpatient reimbursements getting more complex: What this means for ASCs
Outpatient visits are being billed at increasingly higher levels, according to a Feb. 27 analysis from the Peterson Foundation and Kaiser Family Foundation.
Why hospitals want the FTC to scrap noncompete ban proposal
The American Hospital Association is asking the FTC to withdraw its proposal to ban noncompete agreements.
CMS proposes prior authorization updates: 5 things to know
CMS is proposing to streamline and improve prior authorizations with new and added rules, according to a Feb. 21 Kaiser Family Foundation report.
Florida physician to pay $190K to settle controlled substances violations
Pensacola, Fla.-based Timothy Ramsden, MD, has agreed to settle his alleged violation of the Controlled Substances Act with a $190,731 fine, the Justice Department said Feb. 22.
