ASCs have long faced challenges in securing reimbursements, but successful ASCs are focused on payer contracting strategy.
Category: ASC Coding, Billing and Collections
Outpatient surgeries jump 14% in Kansas: 4 things to know
ASCs in the Wichita, Kan., area are returning to pre-pandemic case numbers, Wichita Business Journal reported June 17.
Aetna in the headlines: 6 updates in 30 days
Aetna, a CVS Health company, insurers about 39 million people.
Aetna in the headlines: 6 updates in 30 days
Aetna, a CVS Health company, insurers about 39 million people.
Anthem in the headlines: 6 updates from last 60 days
Anthem is one of the country’s largest health insurers.
Physician found guilty in $12M Tricare fraud scheme
Arkansas physician Joe May, MD, was convicted on 22 counts over his involvement in a scheme to defraud Tricare of $12 million, the Justice Department said June 10.
Optum, Anthem invest in value-based care: What ASCs need to know
Optum Ventures, CVS Ventures, Anthem and HLM Venture Partners announced they are investing in CareBridge, a value-based care company for patients receiving home and community-based services.
Michigan physician pleads guilty to fraudulent billing, to pay $500K
A Muskegon, Mich., physician has pleaded guilty to billing Medicare, Medicaid and Blue Cross Blue Shield for services she didn’t perform, the U.S. Justice Department said June 7.
‘Our business model would implode’: Why a physician group exited a payer’s network
David Kowalski, MD, a physician with Springfield (Ill.) Clinic, a physician group with ASCs that dropped out of network with Blue Cross Blue Shield of Illinois last year after a pay dispute, shed light on the details of the dispute and what lies ahead …
ASCs find new strategies to avoid reimbursement woes
Many ASCs are facing increasing obstacles in the payer landscape, but ASC administrators and executives are developing strategies like direct-to-employer contracting and attracting patients to bypass them.
