SURGERY REVENUE CYCLE SPECIALISTS
Because Specialization Matters.
The Surgery Revenue Cycle. Its all we do.
It’s all we think about. And it shows.
The Surgery Revenue Cycle. Its all we do.
It’s all we think about. And it shows.
We are experts in the surgery revenue cycle industry, and we are regularly asked to write articles and speak nationally on cutting edge and pressing issues facing ambulatory surgery centers. See below for some of what our people had to say on such topics.
On November 2nd, the Centers for Medicare and Medicaid Services released the CY 2022 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Final Rule. Key provisions of the proposal include the following: Changes to the ASC Covered Procedures List For CY 2022, CMS is reinstating the criteria for adding procedures to the ASC […]
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July 20, 2021, the Centers for Medicare and Medicaid Services released the CY 2022 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems Proposed Rule. Key provisions of the proposal include the following: Proposal to use CY 2019 claims data to set the CY 2022 OPPS and ASC payment rates due to the CY […]
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Today, the Centers for Medicare & Medicaid Services issued another round of sweeping regulatory waivers and rule changes to deliver expanded care to the nation’s seniors and provide flexibility to the healthcare system as America reopens. These changes include making it easier for Medicare and Medicaid beneficiaries to get tested for COVID-19 and continuing CMS’s […]
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Last week, the Centers for Medicare and Medicaid Services (CMS) announced the expansion of telehealth benefits to all Medicare beneficiaries in response to the COVID-19 pandemic. Through their 1135-Waiver authority, more patients will be able to receive a wider range of services without the potential of exposure to the virus. CMS subsequently released this Telemedicine […]
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The national emergency declaration as a result of the spread of COVID-19 expands the Administration’s ability to implement regulatory flexibilities through “blanket waivers” of generally applicable Medicare, Medicaid, and CHIP program requirements. When a blanket waiver is issued, it applies broadly and clinicians do not need to apply for individual waiver protection. The Department of […]
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Throughout this pandemic, the Centers for Medicare and Medicaid Services (CMS) has issued guidance surrounding elective/non-essential procedures and the COVID-19 response. In addition, many states have issued executive orders requiring the postponement of elective surgeries in ambulatory surgery centers (ASCs). Similar to the CMS guidance on adult elective surgeries, many of these states have included […]
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CMS Adds Total Knee Arthroplasty to the ASC-payable List: The following codes have been approved in the CMS OPPS final ruling and these codes will become payable in the ASC setting beginning January 1, 2020: 27447 (Total knee arthroplasty) 29867 (Allgrft implnt knee w/scope) 92920 (Prq cardiac angioplast 1 art) 92921 (Prq cardiac angio addl […]
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CMS issued its final rule CMS ruled Wednesday, November 1, 2017, on the Hospital Outpatient Prospective Payment System (PDF). The 1,133-page document contains the following key takeaways for ASCs: 3 new procedures added to the ASC covered procedure list- Cervical Artificial Diskectomy (CPT 22856) Second Level Cervical Diskectomy (CPT 22858) Total Laparoscopic Hysterectomy (Uterus over […]
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Lack of Coding Compliance Awareness is a Continual Challenge for ASCs In September 2014, the U.S. Dept. of Health and Human Services’ Office of the Inspector General (OIG) published its audit of Tulare Regional Medical Center, an acute care hospital in California. In its findings, federal investigators determined the “hospital did not comply with Medicare […]
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