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Tags: Horizon BCBSNJ | modifier | modifier 25 | modifier 54 | modifier 55 | modifier 59 | modifier payment policy | New Jersey

Horizon Blue Cross Blue Shield of New Jersey will implement policy and procedural changes in regard to how services submitted with certain modifiers are reimbursed, effective May 17, according to a report by the American Academy of Professional Coders. Click to continue »  

Tags: endoscope manufacturer | labeling | SS1 | Steris

The FDA's Office of Compliance has issued a letter to endoscope manufacturers regarding labeling on reusable medical devices that references the STERIS System 1 processor. Click to continue »  

Tags: Christiana Care Health System | Delaware | kickbacks | settlement

Christiana Care Health System in Wilmington, Del., has agreed to pay $3.3 million to settle claims made by a whistleblower that the health system allegedly paid kickback to neurologists for referring patients to its Wilmington hospital, according to a report in The News Journal. Click to continue »  

Tags: APP | FDA | generic | Hospira Pharmaceuticals | propofol shortage | Teva Pharmaceuticals

The U.S. Food and Drug Administration released updates to the availability of propofol injections on its Web site. Click to continue »  

Tags: California | healthcare fraud | sentencing | Steven Kooshian

George Steven Kooshian, an AIDS physician based in La Quinta, Calif., was sentenced to 15 months in federal prison after pleading guilty to federal healthcare fraud charges for "subdosing" patients by administering doses of medicine that contained less than the prescribed amount of medication that the patients were supposed to receive, according to a news release from the Department of Justice. Click to continue »  

Tags: acquisition transaction | ASCs Inc. | Mid-Peninsula Endoscopy Center

ASCs Inc., an adviser for surgery centers, endoscopy centers and surgical hospitals, has announced the closing of an acquisition transaction for Mid-Peninsula Endoscopy Center in San Mateo, Calif. Click to continue »  

Tags: Eric Woollen | out of network | reimbursement

Q: When an ASC goes in-network after being out-of-network, what's the typical decline in reimbursement per procedure? What is the typical bump in number of cases? Click to continue »  

Tags: construction | surgery center | Tennessee | West Tennessee Healthcare

West Tennessee Healthcare in Jackson, Tenn., is relocating its multispecialty ASC to the six-hospital system's new physicians office tower, according to a release from West Tennessee Healthcare. Click to continue »  

Tags: AHRQ | coverage | government workers | health insurance

As hospitals and physicians offices become more involved in collecting charges from patients, it helps to understand how many have insurance policies, what their premiums are and what share of the premium they pay. Here the U.S. Agency for Healthcare Research and Quality (AHRQ) provides information on state and local government workers. Click to continue »  


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