Category: ASC Coding, Billing and Collections

Anthem has captured the attention of multiple hospitals and health systems across the U.S. as allegations of underpayment and inappropriate denials accumulate.

Healthcare e-commerce startup Fair Market Health was dreamed up when a group of physicians from Wichita, Kan., decided they wanted to replicate the patient and provider benefits of a cash-based Oklahoma City ASC, Wichita Business Journal reported April…

CMS recently answered questions about requirements of the No Surprises Act and about giving good faith estimates to uninsured and self-pay patients.

Physician groups and surgery centers are increasingly cutting insurers from the care delivery equation and contracting directly with employers and cash-paying patients.

Much like the spine itself, medical coding constitutes the backbone of your revenue cycle. As more spinal procedures are performed on an outpatient basis in ambulatory surgery centers, minimizing surgical coding compliance errors is critical to sustain…

The Medicare Payment Advisory Commission proposed aligning Medicare pay rates for ASCs, hospital outpatient departments and physician offices during policy meetings April 7 and 8.

Gastroenterology comprises 41 percent of cases for ASCs in the Atlantic, the highest of any region, while orthopedics represents 20 percent of cases for surgery centers in the Mountain area, according to VMG Health’s “Multi-Specialty ASC Benchmarking S…

ASCs in the South receive the highest percentage of their collections from commercial payers, followed by surgery centers in the Midwest, according to VMG Health’s “Multi-Specialty ASC Benchmarking Study” for 2022.

Insurers and health systems across the U.S. have been at odds during the most recent cycle of contract negotiations, and terminated contracts are affecting thousands of patients.

Aetna, a CVS Health company, insurers about 39 million people.