Sponsored by nimble solutions | Contact us
-
2023 Payer Trends: Navigating Advanced Payment Models
In today’s rapidly evolving healthcare landscape, ambulatory surgical centers (ASCs) are facing new payer trends that are reshaping the way they are reimbursed for their services. -
Hospitals defy price transparency rules
Most hospitals aren't complying with federal price transparency rules that went into effect January 2021, with few consequences, according to the Fourth Semi-Annual Hospital Price Transparency Report from the PatientRightsAdvocate.org. -
Ohio physician to pay $2.2M for role in drug kickback scheme
Hudson, Ohio-based physician Deepak Raheja, MD, was sentenced to prison and must pay $2.2 million after pleading guilty to his role in a pharmaceutical kickback scheme, the U.S. Justice Department said Feb. 3. -
UnitedHealthcare's 2023 outpatient procedure code changes
UnitedHealthcare made changes to its outpatient procedure group mapping that went into effect Jan. 1. -
The biggest ASC reimbursement shift in 2022
CMS updated ASC payment rates to 3.8 percent, the most critical reimbursement shift in 2022, according to VMG Health's "ASCs in 2022: A Year in Review" report released Jan. 26. -
Top ASC procedures as a percentage of total Medicare payments
The top ASC procedure makes up 20.4 percent of total Medicare payments in 2022, according to a Jan. 26 report from VMG Health. -
BCBS leans into site-neutral payments
The Blue Cross Blue Shield Association released a policy statement backing site-neutral payments as a key focus for saving billions of dollars in the next decade. -
4 new procedures OK'd by CMS for reimbursement in 2023
CMS will reimburse ASCs for four new procedures in 2023, according to a Jan. 23 report from VMG Health. -
How reimbursements for the top 10 ASC procedures will change in 2023
Medicare payments for the top 10 CPT codes are projected to increase by 3.9 percent in total in 2023, according to a Jan. 23 report from VMG Health. -
Where No Surprises Act disputes are most common
ASCs are the fourth most common location for No Surprises Act disputes that occurred between April 15 and Sept. 30, according to CMS' initial report on the independent dispute resolution process. -
Value-based care in 2023: 3 notes
Here are three updates about value-based care that ASCs need to know: -
Payers splitting with health systems: How ASCs could be affected
Contract disputes and payer splits are threatening coverage nationwide, and some ASCs are being affected by the parties unable to meet year-end or looming deadlines. -
Anthem in the headlines: 3 updates to know
Here are three major updates from Anthem Blue Cross that Becker's has reported on since Dec. 19. -
Coast Surgery Center sues major insurance providers over reimbursement disputes
Coast Surgery Center in Huntington Beach, Calif., is suing several major insurance providers for alleged "illegal, coercive, unfair, fraudulent practices, bad faith and deceptive advertisements." -
Certificate of need changes in the Carolinas: What ASCs need to know in 2023
Certificate of need laws could change drastically in North and South Carolina in the next year, according to a Jan. 11 article in JDSupra from the law firm Nexsen Pruet. -
Top No Surprises Act CPT code disputes
Many healthcare leaders cite the No Surprises Act's independent dispute process as an obstacle to care — HHS has received more than 90,000 claims since launching the independent dispute resolution portal in April. -
2 Tennessee ASCs removed from BCBS network
Blue Cross Blue Shield of Tennessee has ended its relationship with Memphis-based Methodist Le Bonheur Healthcare, and two ASCs are affected, local ABC affiliate ABC24 reported Jan. 5. -
No Surprises Act in 2023: 10 things to know
The No Surprises Act, aimed to protect patients against balance billing and create cost transparency, took effect Jan. 1, 2022, and the law has shifted how many physicians and ASCs provide care. -
CMS in the last year: 5 leaders weigh in
Here's what five ASC leaders had to say about CMS in the last year: -
What ASCs need to know about prior authorization
Here are 12 updates in the last year about prior authorizations, one of the biggest burdens for ASC leaders.
Page 23 of 95