Category: ASC Coding, Billing and Collections

4 states update their noncompete laws 

Four states and Washington, D.C., have recently updated their governance of agreements that prohibit employees from competing with businesses directly for a specific duration of time after their employment has ended, according to a Aug. 2 report from t…

Tennessee independent physician group adopts value-based care model

The Jackson (Tenn.) Clinic, one of Tennessee’s largest independent physician groups, has adopted a value-based care model, the group said Aug. 2. 

CMS ups inpatient rates 4.3% for 2023; what should ASCs expect?

CMS plans to boost acute care hospital pay 4.3 percent next year, as long as the hospitals comply with quality data reporting.

UnitedHealth in the headlines: 14 updates in 60 days

UnitedHealth Group, parent company of Optum Health and ASC management company United Surgical Partners International, saw a busy June and July. Here are 14 UnitedHealth updates from the last 60 days:

Centene in the headlines: 12 updates in 60 days

Centene is one of the nation’s largest health insurers by membership.  Here are 12 updates from the company in the last 60 days:

Aetna in the headlines: 5 updates in 30 days

Aetna, a CVS Health company, insurers about 39 million people.  Here are five updates from the company since July 5:

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.