Category: ASC Coding, Billing and Collections

Southern ASCs earn the most revenue in the country, according to VMG Health’s “Multi-Specialty ASC Benchmarking Study” for 2022.

The U.S. attorney’s office asked a federal judge not to dismiss a whistleblower lawsuit against the University of Pittsburgh Medical Center and one of its top surgeons, Pittsburgh Post-Gazette reported March 10.

Twelve Michigan- and Ohio-based physicians were sentenced March 9 to prison for their roles in a scheme to perform and bill for unnecessary procedures in exchange for opioid prescriptions.

Two major credit card companies plan to increase merchant fees, according to The Wall Street Journal.

A gastroenterologist in Central Islip, N.Y., pleaded guilty March 7 to billing Medicare for millions of dollars for medical procedures that weren’t performed, according to the Justice Department.

The Surgery Center of Oklahoma in Oklahoma City is leading the charge in ASC price transparency with its all-cash model, according to a March 4 D Magazine report. 

Commercial payers account for 55 percent of total collections at ASCs, according to VMG Health’s “Multi-Specialty ASC Benchmarking Study” for 2022.

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.

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. 

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.