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ASC leaders remain wary of reimbursement trends
Reimbursement challenges are among the biggest trends ASC leaders are watching. -
Physician charged in $20.7M kickback scheme
A New York City physician was charged for allegedly engaging in a $20.7 million healthcare fraud and illegal kickback scheme. -
ASCs' reimbursement conundrum
Low reimbursement rates continue to plague ASCs nationwide. -
Arizona court rules in favor of noncompete: 5 things to know
An Arizona federal court recently granted a franchisor company's motion to temporarily restrain a former franchisee from operating a competing business in a noncompete lawsuit, law firm Lathrop GPM wrote in a Feb. 19 article published by JDSupra. -
ASCs are catching the eye of Medicare
The number of Medicare-certified ASCs has increased by 870 since 2011, according to a Feb. 13 report from financial advisory firm VMG Health. -
Stark law violators facing massive penalties
Some of the largest recoveries by the Justice Department in the last year were Stark law violations, according to a Feb. 8 report from law firm Mintz, which could mean the law could be enforced more strictly moving forward. -
Medicaid disenrollments pass 16 million
At least 16,430,000 Medicaid enrollees have been disenrolled as of Feb. 1, according to data from KFF. -
Another state moves to restrict noncompetes
Legislation further amending noncompete policy in Washington has passed the state's Senate. -
From Denial to Approval: Winning More Prior Authorizations Starts with Tech-Driven Strategies
Preauthorization. Precertification. Prior authorization. One of the most time-consuming, costly, and complex paperchase processes for the healthcare industry goes by many names. -
Fee-for-service model still reigns supreme
Forty-six percent of physicians participate in the fee-for-service payment model, according to Medscape's "Physician Compensation Report 2023." -
Who's participating in value-based care?
Despite its growing popularity, only 14% of physicians participate in the value-based payment model, according to Medscape's "Physician Compensation Report 2023." -
Reimbursements for 11 new ASC-payable procedures
CMS recently added 11 surgical codes to the ASC payable list and finalized a 3.1% payment rate for ASCs in its 2024 final rule. -
The states with no certificate-of-need laws
Sixteen states have no certificate-of-need laws, according to a report from HealthCare Appraisers, a consulting firm. -
Prior authorization reform ball in states' court
Recent prior authorization reforms by CMS are a significant step in the right direction but are not an all-encompassing solution, according to the American Medical Association. -
Noncompetes enforced in Delaware court decision
The Delaware Supreme Court ruled that financial services company Cantor Fitzgerald properly denied $9 million to former partners under noncompete agreements, Bloomberg Law reported Jan. 29. -
The push to change certificate-of-need laws
More states have been looking to repeal or reform their certificate-of-need laws with the intention of increasing access to care. -
Tennessee couple sentenced in $65M healthcare fraud scheme
A married couple living in Birchwood, Tenn., have been sentenced for a $65 million TriCare fraud scheme. -
3 payer splits, resolutions affecting ASCs
Becker's has reported on three major payer contract splits and resolutions that have affected ASCs since Dec. 5: -
Surgeon's lawsuit over North Carolina's certificate-of-need policy: Where it stands
The North Carolina Supreme Court has granted review in September for a lawsuit from Jay Singleton, MD, who owns an ophthalmology practice in New Bern, N.C., challenging the state's certificate-of-need laws. -
Bad news for FTC's noncompete ban
The Federal Trade Commission has been largely silent on its proposed ban on noncompete contracts for full-time employees and independent contractors introduced January 2023, according to an article by law firm BakerHostetler published in JDSupra.
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