Aetna, a CVS Health company, insurers about 39 million people. Here are five updates from the company since July 5:
Category: ASC Coding, Billing and Collections
4 biggest payer moves this month
Payers are incentivizing physicians to perform procedures in low-cost settings, which means ASCs are becoming increasingly attractive. At the same time, physicians are balking at some payer moves in the last 30 days.
Payers are pushing physicians to ASCs
Payers are incentivizing physicians to perform procedures in low-cost settings, which means ASCs are becoming increasingly attractive, according to ASC leaders.
Elevance in the headlines: 7 updates in 30 days
Elevance Health, the insurer formerly known as Anthem, is one of the biggest payers by members with 39.9 million members.
How CMS’ physician conversion factor changed over the last 10 years
Physicians face another year of fee cuts in 2023 as Medicare proposes to reduce the conversion factor by 4.42 percent to $33.08.
10 procedures CMS proposes moving off the inpatient-only list in 2023
Medicare is recommending removing 10 procedures from the inpatient-only list in 2023, according to its Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System proposed rule, released July 15.
Payers updating policies for ASC procedures
Four payers have updated their policy for ASC procedures since May 24:
Cigna reconsiders latest reimbursement policy
Health insurance company Cigna is delaying the implementation of its modifier 25 policy.
Top 5 ASC medical billing companies for 2023
Peninsula Daily News on July 11 released its picks for the top ASC medical billing companies for 2023.
Whistleblower suit against UPMC, physician group will proceed, judge rules
A federal judge rejected the University of Pittsburgh Medical Center’s bid to dismiss a whistleblower lawsuit against UPMC, its physicians group and its chair of cardiothoracic surgery, NBC affiliate WPXI reported July 7.
