Facility fees have become a controversial component of the reimbursement structure for ASCs as some advocates say they disincentivize patients from utilizing lower cost settings for surgical ...

When is the last time your hospital, health system or organization looked at codes and clinical documentation to ensure everything was compliant with law and best practices? If revenue cycle teams are ...

Facilities that perform outpatient surgery must report the right place-of-service code, according to an AAPC report. The Office of the Inspector General recommended several audit and recovery actions ...

A new study suggests "upcoding" practices are growing across outpatient service lines. The report, compiled by researchers at Trilliant Health, found that the share of visits that were coded at higher ...

Please provide your email address to receive an email when new articles are posted on . December 2020 saw CMS finalize a proposal to eliminate the inpatient only list in a 3-year transitional period, ...

This article examines how prices, insurer payments, and patient payments for outpatient surgeries differ by site of care and network status. Objective: To examine how site of care and insurance ...

Annual analysis points to an urgent need to redefine revenue integrity as proactive protection, while strengthening coding integrity and denial prevention measures. WELLESLEY, MA / ACCESS Newswire / ...

Ambulatory Surgery Centers face constant pressure to deliver high-quality care while maintaining tight operational and ...