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Medicare to save $73.4B with surgery in ASCs through 2028: 5 things to know
A new report from the Ambulatory Surgery Center Association shows performing surgery on Medicare patients in ASCs instead of hospital outpatient departments saved $4.2 billion in 2018, and the savings are expected to climb significantly in the next decade. -
5 Percent of Your Self-Pay Patients Likely Have Medicare Coverage
Ensuring correct patient demographic and insurance coverage information during emergency outpatient encounters is essential to the health of a hospital’s reimbursement and bottom-line finances. -
AtlantiCare surgery centers back in network with Humana
Humana and Atlantic City, N.J.-based AtlantiCare reached an agreement to provide in-network care for Medicare Advantage members. -
What's limiting physician income in 2020? 'Personal choice' ranks in top 3
The COVID-19 pandemic was the leading reason for physicians' income limitations in 2020, followed by "personal choice" and "patient volume/load," according to The Medicus Firm's "2020 Practice Preference & Relocation Survey." -
7 financial management tips to help ASCs capitalize on a rebounding ASC market
In mid-March, hospitals across the country halted elective surgeries due to the SARS-CoV-2 pandemic. While many ASCs did experience initial shock—volume across the nation dropped 80% between February and April—most ASCs have now rebounded to pre-pandemic activity. -
Texas physicians ask for more prospective payments amid pandemic
In August, the Texas Academy of Family Physicians released a five-point plan to improve primary care access and transition away from fee for service to a prospective payment system. -
Dignity Health surgery centers back in network with Cigna after 9-month feud
San Francisco-based Dignity Health and Cigna reached a multiyear agreement after a nine-month renegotiation process, the San Francisco Business Times reports. -
Mitigate Revenue Loss During COVID-19
As the U.S. healthcare system faces relentless financial strain, healthcare revenue cycle leaders are seeking strategies to increase patient volume and mitigate revenue loss during COVID-19. -
Commercial payer spend on GI procedures in HOPDs vs. ASCs — 6 statistics
Consumers save as much as $5 billion a year in out-of-pocket costs by having procedures performed in ASCs instead of hospital outpatient departments, according to Anthem. -
NY clinic leader ordered to pay $39.4M, gets prison sentence for role in kickback scheme: 5 details
The former leader of multiple New York medical clinics was sentenced to prison and ordered to pay millions for his involvement in a money laundering and healthcare kickback scheme, according to a report from the Department of Justice. -
2021 CPT code set includes 329 modifications — 4 things to know
The American Medical Association released the 2021 Current Procedural Terminology code set Sept. 1. -
Anthem: Shifting certain GI procedures to ASCs could create $12B in savings
Colonoscopies and upper gastrointestinal procedures cost an average of 1.7 times more in a hospital outpatient department than they cost in an ASC, according to a July report from Anthem's Public Policy Institute. -
Tennessee state health plans allegedly overpaid providers at least $17.58M
State health plan administrators BlueCross BlueShield of Tennessee and Cigna allegedly overpaid providers at least $17.58 million, according to a claims data analysis by private firm ClaimInformatics, the Times Free Press reports. -
Chicago surgery center improves financial performance
Rush SurgiCenter Chicago saw its financial performance increase after using the SNBilling revenue cycle management service, according to a study released by Surgical Notes. -
4 kickback settlements since April
During the pandemic, several settlements have been reached in lawsuits involving devicemakers, drug companies and physician groups. -
Surgery groups vs. insurers: 4 court battles to know
Four recent lawsuits involving surgical groups and insurance companies: -
ASCs don't want to be out of network in an economic downturn: 3 thoughts from a VP
John Kelly, senior vice president of strategic planning at advertising agency 9Rooftops Health, shared three thoughts on the future of the ASC market: -
Physician practices should avoid these 5 billing mistakes
Seemingly minor billing mistakes can result in major revenue losses for physician practices, according to the Pensacola Voice. -
Total charges in 2019 for the 10 costliest ASC procedures
Some of the most expensive procedures performed in ASCs last year represented over $40 million in total charges, according to Definitive Healthcare. -
Imaging provider sues Cigna for nearly $400K over allegedly improper denials
A new lawsuit accuses Cigna of violating the Coronavirus Aid, Relief and Economic Security Act by improperly denying nearly $400,000 in COVID-19-related claims, according to Law360 and Radiology Business.
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