Here are three fast facts on prior authorization:
Category: ASC Coding, Billing and Collections
Mississippi updates ASC controlled substance distribution rules
The Mississippi State Board of Medical Licensure and the Board of Pharmacy have issued a joint statement on its compliance rules for ASCs dispensing controlled substances, JDSupra reported Nov. 9.
Payers putting ‘downward pressure’ on ASCs: How leaders are looking at payer behavior
ASCs have historically faced obstacles to reimbursements, and ASCs in some markets are seeing increased pressure from payers.
Colorado uses cash incentive to drive down healthcare cost
The Colorado Purchasing Alliance created an initiative that allows employers in the state to negotiate lower prices for healthcare services through a cash incentive, the Kaiser Family Foundation reported Nov. 2.
Healthcare is seeing ”astronomical financial losses in 2022′: 3 leaders’ thoughts on revenue
Three ASC leaders joined Becker’s to discuss the financial losses providers are seeing in 2022:
3 fast facts on ASC operating costs
Here are three breakdowns of ASC operating costs to know:
CMS bumps ASC payments to 3.8 percent in final rule
CMS updated ASC payment rates to 3.8 percent in its 2023 “Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Proposed Rule.”
ASC that closed due to ‘adverse business conditions’ struggling to collect payments
The Surgery Center of Fort Collins (Colo.) is working on collecting past due bills more than two months after it announced it was closing for good, according to BizWest reported Oct. 26.
UnitedHealth vs. Centene vs. Elevance in Q3
Payers UnitedHealth, Elevance (formerly known as Anthem) and Centene are some of the largest insurers by membership.
3 physician, PA fraud cases in 3 weeks
Becker’s has reported on three physician or physician assistant fraud cases since Oct. 6.
