Category: ASC Coding, Billing and Collections

CMS will reimburse ASCs for four new procedures in 2023, according to a Jan. 23 report from VMG Health. 

Medicare payments for the top 10 CPT codes are projected to increase by 3.9 percent in total in 2023, according to a Jan. 23 report from VMG Health. 

ASCs are the fourth most common location for No Surprises Act disputes that occurred between April 15 and Sept. 30, according to CMS’ initial report on the independent dispute resolution process. 

Here are three updates about value-based care that ASCs need to know:

Contract disputes and payer splits are threatening coverage nationwide, and some ASCs are being affected by the parties unable to meet year-end or looming deadlines. 

Here are three major updates from Anthem Blue Cross that Becker’s has reported on since Dec. 19. 

Coast Surgery Center in Huntington Beach, Calif., is suing several major insurance providers for alleged “illegal, coercive, unfair, fraudulent practices, bad faith and deceptive advertisements.”

Certificate of need laws could change drastically in North and South Carolina in the next year, according to a Jan. 11 article in JDSupra from the law firm Nexsen Pruet. 

Many healthcare leaders cite the No Surprises Act’s independent dispute process as an obstacle to care — HHS has received more than 90,000 claims since launching the independent dispute resolution portal in April. 

Blue Cross Blue Shield of Tennessee has ended its relationship with Memphis-based Methodist Le Bonheur Healthcare, and two ASCs are affected, local ABC affiliate ABC24 reported Jan. 5.