Value-based care and bundled payments have been gaining momentum in the ASC industry as a means to reduce healthcare costs and improve patient care.
Category: ASC Coding, Billing and Collections
Insurers now required to cover follow-up colonoscopies
Surprise bills for colonoscopies following a stool-based screening test with positive results are now prohibited, according to Health Day.
Oscar Health introduces tool letting patients compare costs between ASCs, hospitals
New York City-based insurance company Oscar Health introduced a price transparency tool that allows members to compare specific expenses for procedures at ASCs, hospitals and other settings.
Iowa surgical group pays $612K to resolve fraud allegations: 5 details
Tri-State Specialists in Sioux City, Iowa, will pay hundreds of thousands of dollars to resolve billing fraud allegations.
Cigna in the headlines: 5 updates in the last 30 days
Cigna is one of the oldest and largest payers in the U.S. with 20.4 million members.
ASC disputes payer’s conclusion that spine cases should have been in the hospital
The Center for Pain Management remains out of network with Blue Cross and Blue Shield of Minnesota after the payer terminated its contract over safety concerns in October.
National Medical Billing Services buys mdStrategies
ASC revenue cycle management company National Medical Billing Services acquired mdStrategies, a medical coding company focused on ASCs.
Aetna in the headlines: 7 updates in the last 90 days
Aetna is one of the country’s largest health insurers, with 22.1 million members.
Top-paid balloon sinuplasty physician indicted in $46M fraud scheme: 3 details
Anita Louise Jackson, MD, was indicted Jan. 5 for allegedly spearheading a multimillion-dollar fraud scheme.
UnitedHealthcare in the headlines: 4 recent stories
UnitedHealthcare is the largest health insurance company by membership with 70 million members.
