ASC Medical Billing and Coding: A Complete Guide

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Ambulatory Surgery Centers, commonly known as ASCs, have quietly become one of the most important pillars of modern healthcare. They’re efficient, patient-focused, and cost-effective—but behind the scenes, they rely heavily on one critical engine: ASC medical billing and coding. If that engine isn’t running smoothly, even the most advanced surgery center can struggle financially. Let’s break this complex topic down into simple, practical, and human terms so you can truly understand how ASC billing and coding work and why it matters more than ever. Understanding Ambulatory Surgery Centers (ASCs) What Is an ASC? An Ambulatory Surgery Center is a healthcare facility that specializes in providing same-day surgical care. Patients walk in, undergo a procedure, and go home the same day—no overnight stays, no hospital beds, and no unnecessary delays. ASCs typically focus on procedures like orthopedic surgeries, ophthalmology, gastroenterology, pain management, and ENT services. What makes...
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Proposed Updates for Skilled Nursing Facility Quality Reporting Program (SNF QRP)

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 Proposed Updates for Skilled Nursing Facility Quality Reporting Program (SNF QRP)

On April 11, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare payment policies and rates for skilled nursing facilities (SNF) for the year 2023. This SNF PPS (Skilled Nursing Facility Prospective Payment System) includes proposals for the SNF Quality Reporting Program (QRP) and the SNF Value-Based Program (VBP) for FY 2023 and future years. This proposed rule CMS is publishing this proposed rule consistent with the legal requirements to update Medicare payment policies for nursing homes on an annual basis. 

What is the SNF QRP?

The SNF QRP creates SNF quality reporting requirements, as mandated by the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act).  Every year, by October 1, CMS publishes the quality measures SNFs must report. The IMPACT Act requires the reporting of standardized patient assessment data with regard to quality measures and standardized patient assessment data elements. The Act requires the submission of data pertaining to quality measures, resource use, and other domains. In addition, the IMPACT Act requires assessment data to be standardized and interoperable to allow for the exchange of data among post-acute providers and other providers. The IMPACT Act intends to standardize post-acute care data to improve Medicare beneficiary outcomes through shared-decision making, care coordination, and enhanced discharge planning. If an SNF fails to submit the required quality data, the SNF will be subject to a two percentage (2%) point reduction in the Annual Payment Update (APU) for the applicable performance year.

To know more about Proposed Updates for the SNF QRP click here: http://bit.ly/3Zuoyn9 Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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