ASC Coding, Billing & Collections

Underneath every conversation about ASCs taking on total joints, spine and cardiac cases is CMS and a handful of state legislatures rewriting the rules that used to keep those cases in the hospital. “As CMS moves toward site-neutral, single-payment policy,…

A man has been charged with healthcare fraud for allegedly practicing medicine without a license at a New York medical practice for more than eight years, submitting fraudulent claims to Medicare and Medicaid under a licensed physician’s name and provider…

Chesapeake Regional Medical Center has reached a tentative agreement with the Justice Department to resolve a criminal case stemming from the hospital’s decades-long relationship with convicted OB-GYN Javaid Perwaiz, MD, 13 News Now reported Aug. 19. Under the tentative agreement,…

Physicians who once worked in a physician-owned practice before their current job are significantly more likely than their peers to be heading for the exit, according to the 2026 PAI Employed Physician Survey. Among physicians with prior experience in a…

ASC leaders have been increasingly vocal about the miscalculation of treating the center as one enterprisewide profit-and-loss statement instead of a collection of distinct businesses, each with its own economics.  As reimbursement tightens and cost structures shift, some of the…

Eight in 10 ENT physicians say a proposed CMS payment cut could reduce seniors’ access to care, with more than two-thirds saying they would need to see fewer Medicare patients and 14% saying they would stop accepting Medicare entirely, according…

Physicians employed by health insurance companies report significantly more pressure to keep patients within their network than those working for hospitals or private equity-owned practices, according to a new survey from the Physicians Advocacy Institute. The 2026 PAI Employed Physician…

Millennial physician pay rose to $364,000 on average in 2025, up from $354,000 the prior year, driven largely by gains among specialists, whose average compensation climbed from $380,000 to $392,000, while primary care physician pay held flat at $279,000, according…

A Chicago-based podiatry practice and its owner have been named in a joint federal and state civil complaint alleging they submitted more than $5.2 million in fraudulent claims to Medicare and Medicaid by billing under other physicians’ names after the…

As more procedures migrate to ASCs, hospitals are still paying salaries to keep surgeons on staff, according to Kaufman Hall’s Q2 2026 Physician Flash Report, which analyzed data from more than 200,000 employed physicians and advanced practice providers across 100-plus…