Becker's Healthcare October 4, 2024
Here are five payer moves in September for ASCs to know, as reported by Becker’s:
1. On Sept. 1, UnitedHealthcare rolled out its list of eligible procedures under its national prior authorization gold-card program, which went into effect Oct. 1. The list included several ASC-related codes.
2. The Office of the Inspector General for HHS alleged in audits published Sept. 25 that subsidiaries of Aetna and Humana received millions in Medicare Advantage overpayments in 2017 and 2018. The OIG estimated that HealthAssurance Pennsylvania, an Aetna subsidiary, received $4.2 million in overpayments in that period of time.
3. On Sept. 23, the Federal Trade Commission published...
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