A mandatory CMS model that ties specialists’ Medicare Part B pay to how they manage chronic conditions starts Jan. 1, 2027. With about two months until launch, a coalition of provider groups is asking CMS to delay it or soften…
ASC Coding, Billing & Collections
Median annual physician productivity runs from 4,964 work relative value units in psychiatry to 12,500 in radiology, according to an Oct. 21 report from Marit. The analysis drew on 4,456 salary reports on Marit’s platform with wRVU detail as of…
Median physician pay per work relative value unit ranges from $41.28 to $90 depending on specialty, according to an Oct. 21 report from Marit. Marit analyzed 4,456 salary reports on its platform that included wRVU detail as of Oct. 2.…
Maine became the latest state to exempt most ASCs from certificate-of-need review in 2026, one of nine states that changed CON rules this year. Tennessee will stop requiring CON for new ASCs Dec. 1, 2027. The federal government is adding…
Physicians are being sued less often than at any point in the last decade, but medical liability premiums rose for the seventh straight year in 2025. Insurers say larger payouts are driving the increases. Here are 20 malpractice stats to…
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Starting Nov. 1, providers and suppliers must use updated CMS forms for every new submission under the Voluntary Self-Referral Disclosure Protocol, according to a client alert from law firm Thompson Coburn. The protocol, known as the SRDP, lets providers and…
The same outpatient procedure can be billed two very different ways depending on whether it happens in an ASC or a hospital outpatient department. The facility, the payment system, the claim form and the patient’s share of the bill can…
The Washington Supreme Court has ruled 6-3 that Seattle-based Virginia Mason Medical Center violated a state rule barring defense lawyers from privately communicating with a patient’s treating physicians, including physicians who no longer work for the hospital, according to a…
Noncompetes, poached surgeons and practice sales drove some of the year’s most-watched legal fights over physicians, practices and pay. Here are 12 cases Becker’s covered in 2026 and where they stand now. 1. Ellis Medicine v. St. Peter’s Health Partners…
All 10 of the highest-volume ASC procedures would be paid less by Medicare in 2027 under CMS’ proposed outpatient payment rule, even though the agency proposed a 2.4% average rate increase for ASCs. CMS released the proposed rule July 2.…