Commercial payers account for 55 percent of total collections at ASCs, according to VMG Health’s “Multi-Specialty ASC Benchmarking Study” for 2022.
Category: ASC Coding, Billing and Collections
How payer mix for ASCs stacks up
Commercial payers account for an average of 44 percent of total cases in ASCs, according to VMG Health’s “Multi-Specialty ASC Benchmarking Study” for 2022.
7 CMS updates
CMS has sent about 342 warning notices to hospitals found noncompliant with price transparency regulations since Jan. 1, 2021, when the rule went into effect.
Stalled BCBS deal kicks Texas system’s ASCs out of network
Blue Cross Blue Shield of Texas customers no longer have in-network access to physicians and facilities of Houston-based health system Memorial Hermann, The Examiner reported March 3.
79% of providers say prior authorization rules grew in last year
Seventy-nine percent of medical groups say that payer prior authorization requirements increased in the last year, according to a poll conducted by Medical Group Management Association March 1.
Cost of the 25 most common ASC procedures
Variations of colonoscopies make up three of the 10 most common procedures performed at an ASC, according to data company Definitive Healthcare.
Cigna in the headlines: 6 updates in the last 30 days
Cigna, one of the country’s largest payers, has named two executives in the last month.
What 4 health insurer CEOs are paid
Health insurer chief executives earn millions of dollars each year while their companies narrow networks and lower pay rates for physicians and ASCs.
UnitedHealthcare ends paper prior authorization letters
UnitedHealth Group has decided to stop mailing prior authorization and clinical decisions to providers on paper.
Justice Department sues to halt UnitedHealth Group deal and 3 more news items
Health insurers have made several moves to grow their networks, become more efficient and institute new policies over the last few weeks, and one major company was hit with a lawsuit by the Justice Department.
