Orthopedics tops the pack for ASC revenue per case, according to VMG Health’s “Multi-Specialty ASC Benchmarking Study” for 2022. The specialty was only the fourth most-represented among ASC cases, however.
Category: ASC Coding, Billing and Collections
How CMS is affecting the future of healthcare
From the dismissal of the inpatient-only list to the removal of procedures from the ASC-payable list, CMS plays a massive role in the success of an ASC.
24% of physicians say prior authorization wait led to hospitalization of patient
Thirty-four percent of physicians reported that delays in processing a prior authorization led to a serious adverse event for a patient in their care, according to a recent survey from the American Medical Association.
UnitedHealthcare adds prior authorization to physical, occupational therapy in 4 states
UnitedHealthcare now requires members to obtain prior authorization before undergoing physical and occupational therapy at multidisciplinary offices and outpatient hospitals in four states.
UnitedHealthcare drops patient observation notice requirement
Chicago-based insurance provider UnitedHealthcare has ended its requirement in most plans for providers to submit an observation notification after a patient is discharged home, the company said Feb. 10.
UnitedHealthcare vs. Cigna vs. Anthem: How the big 3 stack up
Payers UnitedHealthcare, Cigna and Anthem reported the largest year-end revenue in 2021.
2 Texas physicians indicted in $300M kickback scheme
Two Loredo, Texas-based physicians were among 10 indicted in a $300 million healthcare fraud scheme Feb. 10, according to the Justice Department.
6 CMS updates
The No Surprises Act, the federal law requiring ASCs and physician practices to provide cost estimates to self-pay patients, went into effect Jan. 1.
ASCs must give cost estimates to patients: 7 details
ASCs and physician practices are required to provide cost estimates for expected charges to self-pay patients when scheduling procedures or services as part of the No Surprises Act, which went into effect Jan. 1.
Aetna in the headlines: 5 updates in the last 30 days
Here are five updates from Aetna, one of the country’s biggest payers, in the last 30 days:
