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What Are The Current Regulatory Changes And Compliance Requirements That ASCs Need To Be Aware Of In Their Billing Practices?

Healthcare IT Today

However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance. Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008. Audits, fines, repayment demands, and government program suspensions are enforcement actions.

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OIG Issues Final Information Blocking Enforcement Rule and Highlights the Potential for Referrals to the FTC and FCA Liability

Health Care Law Brief

2] In addition to these priorities, OIG also explained how it “may evaluate allegations and prioritize investigations based in part on the volume of claims relating to the same (or similar) conduct by the same actor.” [3]

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