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ASC REVENUE CYCLE SPECIALISTS

Because Specialization Matters.

The ASC Revenue Cycle. Its all we do.

It’s all we think about. And it shows.

INDUSTRY INSIGHTS

We are experts in the ASC 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.

Published on Beckers ASC Review By Kylie Kaczor, MSN-RN, CPCO, CPHRM, CMPE, CASC, CLSSBB, ACHE, Senior Vice President — Clinical and Regulatory Affairs, National Medical Billing Services, and Aaron Davis, PMP, ICGB, CLSSGB, Vice President — Client Operations, National Medical Billing Services As the healthcare industry strives to financially recover from the coronavirus pandemic and […]

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The U.S. Department of Health and Human Services recently announced that the Provider Relief Fund (PRF) Reporting Portal will reopen for the completion or submission of reporting for Reporting Period 1 from Dec. 13, 2021 at 9:00 am ET through Dec. 20, 2021 at 11:59 pm ET. Medical groups that already submitted a Reporting Period […]

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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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On October 15th, the Department of Health and Human Services (HHS) officially extended the National Public Health Emergency (PHE) which was set to expire. The declaration will extend the availability of waivers, including the Hospitals Without Walls initiative, and funding that are available under the Public Health Emergency. By statute, the Public Health Emergency can […]

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July 19, 2021, the Department of Health and Human Services (HHS) officially extended the National Public Health Emergency (PHE) which was set to expire. The declaration will extend the availability of waivers, including the Hospitals Without Walls initiative, and funding that are available under the Public Health Emergency. Under federal law, an HHS-declared PHE and […]

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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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On Wednesday evening, June 3, the U.S. Senate unanimously passed legislation that seeks to fix the Paycheck Protection Program (PPP) for small businesses under the CARES Act. This new bill, known as the Paycheck Protection Flexibility Act, will ease restrictions of the PPP program and is on its way to President Trump’s desk for signing […]

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On April 30th, CMS announced round two of sweeping regulatory changes including further expansion of Telehealth services. Key Telehealth expansions include: Expand providers approved to deliver telehealth services  In addition to doctors, nurse practitioners, and physician assistants, now other practitioners are able to provide telehealth services, including physical therapists, occupational therapists, and speech language pathologists. […]

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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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A total of $50 billion of the Provider Relief Fund is allocated for general distribution to Medicare facilities and providers impacted by COVID-19. The initial $30 billion was distributed between April 10 and April 17, and the distribution of the remaining $20 billion began Friday, April 24, 2020.   Last week, HHS announced the release […]

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On April 26th, CMS announced that it is suspending its Advance Payment Program for Part B providers effective immediately and will re-evaluate any pending applications. This change comes as a result of the recently passed Paycheck Protection Program and Health Care Enhancement Act which allocated an additional $75 billion in funds for providers. This replenishment […]

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Today, President Trump signed into law a $484 billion stimulus package that that will replenish the Paycheck Protection Program under the CARES Act along with additional provisions for healthcare funding and Covid testing.   This stimulus has allocated an additional $310 billion for the Paycheck Protection Program (PPP) under the Small Business Administration which ran […]

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A total of $50 billion of the Provider Relief Fund is allocated for general distribution to Medicare facilities and providers impacted by COVID-19. The initial $30 billion was distributed between April 10 and April 17, and the remaining $20 billion is being distributed beginning Friday, April 24. On April 24, a portion of providers will […]

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The US Senate passed a $480 billion economic relief package that will replenish the Paycheck Protection Program under the CARES Act along with additional provisions for healthcare funding and Covid testing. In the unanimous voice vote, the Senate has allocated an additional $310 billion for the Paycheck Protection Program (PPP) under the Small Business Administration […]

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On April 19, the Centers for Medicare and Medicaid Services (CMS) released guidance to the healthcare industry on the re-opening of facilities to provide non-emergent healthcare. After the White House announced a three-phased approach to re-opening the country, and with many state Governors beginning to release their individual approach to this, CMS also recognizes that […]

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In the April 16th Covid-19 Task Force press briefing, President Trump along with White House medical advisors announced a phased approach to re-opening the American economy. These guidelines will allow Governors to begin re-opening their individual states after meeting important gate criteria; most significantly a 14 day decline in Covid-19 cases. Phase one of the […]

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As all Americans and, in particular, small business owners continue to understand the evolving CARES Act, the IRS released clarifications regarding the terms of payroll tax deferrals within the Paycheck Protection Program (PPP). It was previously believed that taxpayers who were taking a covered loan under the PPP/CARES Act were not eligible for deferral of […]

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President Trump announced that his administration is suspending funding the World Health Organization (WHO) due to concerns related to their handling of the Corona virus Pandemic and perceived favoritism to China, citing lack of proper notice in December of 2019 about the transmission of the Corona virus. The United States produces the most funding for […]

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The White House has announced there are over 20 states that are currently trending appropriately to re-open their economies prior to the May 1st deadline but note that the Federal government will continue to monitor these states. Read More:  https://abcnews.go.com/Politics/coronavirus-government-response-updates-trump-council-reopening-country/story?id=70139021

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HHS has released additional detail on how the $30 billion in grant payments under the CARES Act will be determined and issued to Medicare Fee-For Service providers. Beginning April 10, 2020, participating providers will see this direct deposit remittance issued to provide relief to both providers in areas heavily impacted by the COVID-19 pandemic and […]

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CMS Administrator Seema Verma announced an additional $30 billion dollars in grant funding for healthcare providers under the CARES Act in the Covid-19 Task Force press briefing on April 7, 2020.   According to Administrator Verma, President Trump has asked CMS to do more to support healthcare providers under the CARES Act $100 billion dollar […]

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The CARES Act attempts to alleviate some of the financial strain on hospitals, physicians, and other health care providers through a series of new Medicare policies that temporarily boost Medicare and Medicaid reimbursement and allow for added flexibility. Policy updates include: During the period beginning on May 1, 2020 and ending on December 31, 2020, […]

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President Trump signed into law a historic $2 trillion coronavirus relief package, the Coronavirus Aid, Relief and Economic Security Act (CARES Act); the biggest fiscal stimulus in US history. Of the many key provisions, this legislation allows for $349 billion in small business relief and additional healthcare provisions for hospitals and providers directly impacted by […]

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After CMS issued guidance on elective procedures during the Covid-19 crisis, many state Governors began to issue executive orders. These mandates vary by state, but for those addressing elective surgeries, there may be exceptions to postponement. Ambulatory Surgery Centers should monitor their states specific orders and evaluate their planned surgical cases for applicability. Each states […]

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As of March 25th, CMS has approved 23 states 1135 Medicaid waivers, giving the state more flexibility with its Medicaid program suspending pre-authorizations and allowing Medicaid beneficiaries to seek care in alternative settings, including settings that are not licensed via Medicaid. These waivers are effective until the official withdrawal of the public emergency. States can […]

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During the Centers for Medicare and Medicaid Services press conference in which they announced the approval of blanket waivers, expanding telehealth services to all Medicare beneficiaries, they also called upon private payers to make clear to their beneficiaries what Covid-related services and telehealth options are and are not covered under their plans. Now, many private […]

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In the Covid-19 Task Force press briefing today, CMS Administrator, Seema Verma, provided the following update calling for Hospitals to engage with their local ASCs to utilize the excess capacity that exists in their surgical centers. CMS is waiving a wide and unprecedented range of regulatory requirements by way of waivers and National Medical is […]

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On Saturday, March 28th, through the expansion of its accelerated and advanced payment program, CMS announced that providers can now apply for a three month advance on Medicare payments in an effort to ensure all Medicare providers are supported during the COVID-19 emergency. CMS is accepting Payment Requests immediately and anticipates making payment within 7 […]

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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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Aligned with the almost daily changes to the federal government’s response to the COVID-19 pandemic, CMS announced an expansive lifting of telehealth restrictions on March 17, 2020. These sweeping actions are being taken to limit exposure of our vulnerable Medicare population while allowing them to continue to seek care. CMS Administrator, Seema Verma, announced these […]

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