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CMS Proposes Rule Requiring Providers Post Contracted Rates Online

by Sean McSweeney | Aug 1, 2019 | ASC Billing, Medical billing

On July 29, CMS proposed that hospitals post their contracted rates with commercial insurance companies online, which you can view here.  There has been a great deal of discussion around “Surprise Medical Billing” and how patients are caught in the middle (see our...

How To Know If Your Coding Is Correct

by Sean McSweeney | Dec 11, 2018 | ASC Billing, Neurosurgery Billing, Orthopedic Billing, Pain Management Billing

COMPLEXITY Orthopedic coding is incredibly complex compared to most medical specialties. Spine coding has perhaps the most difficult coding logistics with the possible exception of vascular. Coding can make a tremendous difference in either how much money you’re...

Apache Health Quoted in Becker’s ASC Review

by Sean McSweeney | Aug 24, 2017 | ASC Billing

ASC industry expert and Apache Health President Sean McSweeney was recently quoted in Becker’s on where the ambulatory surgery center industry is headed:   “Question: With the ASC market approaching saturation, what does the future hold for the...

Is Your Billing Company Putting You At Compliance Risk?

by Sean McSweeney | Dec 11, 2016 | ASC Billing, Neurosurgery Billing, Orthopedic Billing, Pain Management Billing

PERCENTAGE BASED CODING Does your orthopedic billing company charge a percentage of collections for their coding and billing? They might break out separate charges for statements or other services, but they also might combine the core coding and billing into one...

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