CMS reduced outpatient overpayments given for patients receiving inpatient services in other facilities by updating their system, according to an audit from the HHS Office of Inspector General.
Category: ASC Coding, Billing and Collections
High patient deductibles are disrupting the ASC industry, physician says
High patient deductibles are shifting the way physicians deliver care, according to Eric Anderson, MD, a pain management physician in Lewisville, Texas.
Stark Law changes: Physician compensation arrangements to keep an eye on
Hospitals and health systems need to update their physician compensation plans after CMS’ recent changes to the Stark Law, according to an article in JDSupra from the law firm Foley and Lardner.
The 47 procedures ASCA wants CMS to add to the approved procedure list
The Ambulatory Surgery Center Association submitted comments to CMS on the Medicare 2023 proposed payment rule Sept. 13, asking the organization to make updates that would benefit ASCs as “high-quality, lower-cost facilities for outpatient surgical car…
What procedures are migrating to ASCs?
From high-acuity spine to cardiac procedures, five ASC leaders joined Becker’s to share what procedures they see moving to the ASC setting.
Aetna in the headlines: 7 updates in 30 days
Aetna, a CVS Health company, insurers about 39 million people.
Centene in the headlines: 9 updates in 30 days
From the canceling of nearly $2 billion in projects to a terminated contract with Tenet, here are nine Centene updates published by Becker’s since Aug. 1.
Former NBA player orchestrated $5M health insurance fraud
Former NBA player Terrence Williams, the 11th overall pick in the 2009 NBA draft, pleaded guilty to healthcare and wire fraud conspiracy charges and aggravated identity theft, the Justice Department said Aug. 26.
ASC sues UnitedHealthcare for alleged ERISA violations
Taylor Theunissen, MD, and Metairie, La.-based Sadeghi Center for Plastic Surgery filed a lawsuit against UnitedHealthcare, alleging the insurer failed to pay preathorized claims in violation of the Employee Retirement Income Security Act, according to…
No Surprises Act final rules: What ASCs need to know
The HHS and Labor Department Aug. 19 issued the final rules for the No Surprises Act.
