Category: ASC Coding, Billing and Collections

Top No Surprises Act CPT code disputes 

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. 

2 Tennessee ASCs removed from BCBS network

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. 

No Surprises Act in 2023: 10 things to know

The No Surprises Act, aimed to protect patients against balance billing and create cost transparency, took effect Jan. 1, 2022, and the law has shifted how many physicians and ASCs provide care. 

CMS in the last year: 5 leaders weigh in 

Here’s what five ASC leaders had to say about CMS in the last year:

What ASCs need to know about prior authorization 

Here are 12 updates in the last year about prior authorizations, one of the biggest burdens for ASC leaders. 

FTC could ban noncompetes with new rule: What ASCs need to know

Noncompete agreements could be banned with a new proposed rule from the Federal Trade Commission. 

The ASCs that faced opposition in 2022

Here were seven ASCs that faced opposition in 2022: 

ASC ownership is 'paramount' to success: 4 thoughts on ownership

Four ASC leaders joined Becker’s to discuss their thoughts on ASC ownership. 

ASC reimbursement rates shouldn't be based on ownership, leader says

According to Dennis Fliegelman, principal consultant at West Lake Village, Calif.-based ARA Financial Services, outpatient reimbursement should be based on clinical rationale rather than ownership structure. 

Stark Law: What ASC leaders need to know in 2023

Becker’s has reported on three Stark Law changes and considerations in 2022. Here’s what ASC leaders need to know going into 2023: