Category: ASC Coding, Billing and Collections

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.

Optical devicemaker settles kickback allegations for $16.4M

Optical devicemaker Essilor is paying $16.4 million to settle allegations that it paid kickbacks and violated the False Claims Act, the Justice Department said Aug. 23.

35% of physicians see increase in compensation tied to quality 

The trend toward value-based care models in recent years has been followed by a push for quality performance metrics.

Value-based contract revenue as percentage of total revenue in 3 categories 

The Medical Group Management Association recently released its report, “Patient Access and Value-based Outcomes Amid the Great Attrition,” which details the revenue driven from value-based contracts in healthcare by specialty.