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3 specialty coding summits to prepare for E/M changes
To help specialty practices prepare for changes to evaluation/management office-visit guidelines and pay rates, DecisionHealth will host three virtual summits, the healthcare news source announced Oct. 19. -
5 health insurers dominating market share
The American Medical Association identified five health insurers that hold the highest market share in the most markets in its 2020 study on competition in commercial health insurance markets. -
15 states where a single health insurer leads the market
The American Medical Association published its annual study on competition in commercial health insurance markets. -
10 states with the most concentrated health insurance markets — Alabama is No. 1
Lack of competition is a worsening problem for already-concentrated health insurance markets, according to the American Medical Association's 2020 "Competition in Health Insurance: A Comprehensive Study of U.S. Markets." -
AMA study: Competition sinks further in most health insurance markets
Highly concentrated markets for commercial health insurance have grown even more concentrated over the past five years, according to a new study from the American Medical Association. -
North Dakota clinic paid $5.5M to settle allegedly illegal ASC arrangement
Bismarck, N.D.-based Mid Dakota Clinic settled allegations that a financial arrangement with its wholly owned ASC violated the Anti-Kickback Statute, according to an Oct. 9 case summary. -
A breakdown of US per-capita healthcare spending in 2018
For the U.S. and comparable countries, inpatient and outpatient care was the largest category of per-capita health spending in 2018, according to a Kaiser Family Foundation analysis of statistics from the Organisation for Economic Co-operation and Development. -
California Medicare-focused insurance company's financial woes lead to provider contract terminations
Southern California-based Vitality Health Plan is in dire financial need, which has caused several area hospitals and surgery centers to terminate their contracts with the insurer, The Mercury News reports. -
5 ways ASCs can capitalize on anticipated revenue growth
Revenue in the ASC market is estimated to hit $43 billion in 2021, an increase of 54 percent from 2015, according to a report from Bain & Co. In contrast, the number of procedures performed in ASCs is estimated to hit 27 million in 2021, an increase of 35 percent from 2015. This highlights the movement of high-acuity, high-reimbursing specialties into outpatient settings as revenue growth is outpacing procedure growth. -
How AI can improve documentation practices to boost revenue: 5 insights
Artificial intelligence technologies can help ASCs alleviate revenue and resource challenges spurred by the COVID-19 pandemic by optimizing workflow and improving revenue capture. -
The 3 things facilities should do now to prepare for the 2021 CMS Physician Fee Schedule
The 2021 CMS Physician Fee Schedule increased work relative value units, but decreased the conversion factor for reimbursement, which could result in healthcare facilities overcompensating physicians if they don't make changes to their reimbursement structure now, according to a VMG Health report. -
5 Simple Steps that Help You Avoid Costly Billing Mistakes, Improve Your Bottom Line, and Reduce Patient Anxiety
When providing healthcare services, we are entrusted with the care of vulnerable patients. Patients are medically vulnerable, often with significant and potentially life-threatening conditions. -
6 must-know coding updates in 2020
Becker's ASC Review compiled a timeline of significant medical coding updates that have been proposed or implemented so far this year: -
Blue Cross North Carolina, Wake Forest collaborate on new insurance network
Blue Cross and Blue Shield of North Carolina and Winston-Salem, N.C.-based Wake Forest Baptist Health are collaborating to offer a new Blue High Performance Network, according to an Oct. 1 statement from the insurance provider. -
2 endoscopy centers, surgery center could lose Anthem coverage
Winchester, Va.-based Valley Health could lose its contract with Anthem of Virginia because of a stalled contract negotiation, Rappahannock News reports. -
6 ASC reimbursement updates in the past 100 days
Since July 1, Becker's ASC Review has reported six significant changes and proposed changes to reimbursement for ASCs: -
Michigan legislature passes surprise medical billing legislation
The Michigan Senate passed surprise medical billing legislation that would remove patients from surprise billing disputes and would pay out-of-network providers from a patient's insurer, Crain's Detroit Business reports. -
Increase revenue by improving these 3 front-end processes
In today’s competitive environment, creating the ultimate “patient experience” will truly differentiate your surgery center and is paramount to building a successful and growing ASC. To create this experience, a patient should be treated with care, respect and competence in each and every interaction with your staff, your processes, your technology and your surgeons. This article is going to focus specifically on the front end aspects of the patient experience. -
Trump's executive order on surprise billing: 3 things to know
President Donald Trump issued two executive orders related to healthcare, including one on surprise medical billing, according to a report from The Hill. -
ASC payer markets and trends: 5 leaders share key thoughts for 2021 and beyond
Five ASC owners and operators outline their payer mix and what they anticipate for future reimbursement trends.
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