Category: ASC Coding, Billing and Collections

Top ASC procedures as a percentage of total Medicare payments

The top ASC procedure makes up 20.4 percent of total Medicare payments in 2022, according to a Jan. 26 report from VMG Health. 

BCBS leans into site-neutral payments

The Blue Cross Blue Shield Association released a policy statement backing site-neutral payments as a key focus for saving billions of dollars in the next decade.

4 new procedures OK'd by CMS for reimbursement in 2023

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

How reimbursements for the top 10 ASC procedures will change in 2023 

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. 

Where No Surprises Act disputes are most common

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. 

Value-based care in 2023: 3 notes

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

Payers splitting with health systems: How ASCs could be affected 

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. 

Anthem in the headlines: 3 updates to know

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

Coast Surgery Center sues major insurance providers over reimbursement disputes

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 changes in the Carolinas: What ASCs need to know in 2023

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.