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19 codes used for COVID-19 patients
At the onset of the pandemic, increasing use of three codes — 31500 for emergency intubations, 99291 for intensive care unit treatment and 99233 for complex hospital visits — reflected rising numbers of COVID-19 patients, according to Tony Mira, president and CEO of Anesthesia Business Consultants. -
11 ASCs, specialty groups receiving COVID-19 relief
Ninety-seven percent of U.S. medical practices have taken a financial hit from the COVID-19 pandemic, according to a survey by the Medical Group Management Association. -
Hospitals lose lawsuit against HHS over price disclosure rule
Industry groups representing hospitals and health systems across the nation sued HHS last year, challenging a rule that requires hospitals to disclose the rates they negotiate with insurers beginning in 2021. On June 23, a federal judge granted HHS' motion for summary judgement. -
Chicago allocates $7M in funding to ASC development — 4 details
Chicago-based Sinai Health System received a $7 million grant for its planned ASC in Ogden Commons, an 11-acre mixed-use development in Chicago's North Lawndale neighborhood, the system announced June 18. -
Planned cuts to Medicare payments threaten private practice, surgical groups say
Looming cuts to Medicare reimbursement could be the final straw for private practice surgeons already in financial straits, according to the Surgical Care Coalition, a group of 12 industry organizations opposing the planned cuts. -
6 strategies to re-invent the ASC revenue cycle
Ambulatory surgery centers have long faced challenges in collecting reimbursement, and that became increasingly difficult as patients shouldered more financial responsibility for their care. However, those challenges have intensified during the COVID-19 pandemic and have resulted in an increased need for centers to accelerate revenue collection due to temporary income loss from suspended procedures. -
CMS sets new rules for 5 hospital outpatient services — 5 things to know
New Medicare prior authorization requirements will take effect for certain hospital outpatient department services July 1, according to Bricker & Eckler's Shannon DeBra. -
North Carolina extends CON filing dates, offers guidance on 2021 demand
North Carolina Gov. Roy Cooper extended 2020 deadlines for certificate-of-need applications and released initial projections on healthcare demand in 2021, JD Supra reports. -
CMS approves code for ENT implant in ASCs, hospital outpatient departments — 4 insights
CMS granted Intersect ENT's Sinuva Sinus Implant transitional pass-through payment status for reimbursement under the Hospital Outpatient Prospective Payment System and Ambulatory Surgery Center Payment System. -
'Half the cost, half the risk' at ASCs versus hospitals — Dr. Shakeel Ahmed makes the case for upheaving referral patterns
Costs and infection rates. Those are two healthcare measures made more important than ever by the COVID-19 pandemic — and they're also two areas where ASCs have hospitals beat by a long shot, according to Shakeel Ahmed, MD, CEO of Atlas Surgical Group. -
New York ASC reopens with salary guarantees, liberal sick leave — 3 insights
New York City-based Gramercy Surgery Center has reopened for elective surgeries with new safety protocols and staff salary guarantees in place, according to CEO Austin Cheng. -
Which specialties bill out of network the most?
The prevalence of out-of-network billing varies significantly across provider specialties, according to research from the Health Care Cost Institute. -
10 ICD-10 codes you might use this summer — inflatable craft injury, shark bite & more
Medscape rounded up ICD-10 codes physicians may need to use this summer. -
Aetna to cover sacroiliac joint fusion under new policy
Aetna will cover minimally invasive arthrodesis of the sacroiliac joint under a new policy, which was outlined in a May 29 announcement from medical device company SI-Bone. -
Crisis leaves 31% of adults struggling to pay for health insurance, other expenses + 6 more insights
A significant number of Americans have put off medical treatment during the pandemic, and job losses could lead more adults to rely on Medicaid when they do seek care, according to a poll conducted by the Kaiser Family Foundation May 13-18. -
Doctor.com launches VirtualVisit: a free, first-of-its-kind telemedicine solution integrated with patient acquisition and review capture capabilities
In a recent press release, Doctor.com announced the launch of VirtualVisit — a new telemedicine solution that enables any provider to start practicing medicine virtually in less than 5 minutes, completely free of charge. -
Court upholds dismissal of California surgery center suit against UnitedHealthcare
A federal appeals court upheld the dismissal of Glendale Outpatient Surgery Center's lawsuit against United HealthCare Services and UnitedHealthcare Insurance Co. -
IPPS rule: New codes proposed in 66 categories
The Inpatient Prospective Payment System proposed rule released May 11 floats nearly 500 new ICD-10-CM codes that would take effect Oct. 1. -
Which physicians have the most claims denied, resubmitted? A specialty breakdown
For general surgeons, 19 percent of claims are denied or need resubmitted, according to Medscape's "Physician Compensation Report 2020." -
How COVID-19 could affect ASC patient payments — 4 considerations
The way patients seek out and pay for care will likely change due to the coronavirus pandemic, according to VMG Health's 2020 "Healthcare M&A Report."
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