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.
Category: ASC Coding, Billing and Collections
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.
UnitedHealth in the headlines: 6 updates from the last 30 days
UnitedHealth Group, parent company of ASC management company United Surgical Partners International, reported sizable year-over-year growth in 2021.
Physician group to pay $100K to resolve kickback allegations: 5 details
Brockton Urology Clinic in Boston will pay thousands of dollars to settle allegations it accepted kickbacks from a hospital for services never provided, according to the Justice Department.
National Medical Billing Services acquires 2nd company in 2022
National Medical Billing Services, a healthcare revenue cycle management company focused on ASCs, closed its second transaction of the year.
GI surgeries more common on the coasts than any other region
Gastroenterology claims the highest case mix, on average, among the nation’s 6,028 ASCs, according to VMG Health’s “Multi-Specialty ASC Benchmarking Study” for 2022.
