Two men residing in Doral, Fla., face charges for performing procedures at New World Medical & Mystic Cosmetic Surgery without a license, Local 10 reported June 11. What happened?
ASC Coding, Billing & Collections
Duane Dixon, a former Roanoke, Va., physician, was sentenced to 40 months in prison for healthcare fraud and illegal opioid prescribing, the Justice Department said in a June 11 news release. What happened? Who else is involved?
As the healthcare landscape evolves, ASCs are navigating a complex payer environment characterized by rising costs, shifting reimbursement structures and increasing demands for data-driven value. Here are five major payer trends disrupting the ASC industry today. 1. Rise in direct-to-employer…
The U.S. physician workforce is under growing pressure from multiple directions — economic uncertainty, burnout, declining autonomy and policy shifts. A recent wave of data reveals concerning trends that are leaving many physicians alarmed about the future of their profession.…
In a June 10 Medscape article, Shawn Martin and Patricia Turner, MD, detail how the current Medicare physician payment system adversely affects both physicians and the patients they serve. The authors argue that while short-term boosts to reimbursement are being…
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Paul Hughes of Omaha, Neb., was sentenced for fraudulently obtaining controlled substances and making false statements to the federal government, according to a June 6 news release from the Justice Department. What happened?
The CEO of a healthcare software company was convicted for his role in a more than $1 billion scheme that involved fraudulent physicians’ orders to Medicare and other payers, , according to a June 3 news release from the Justice…
As economic pressures mount and payer dynamics shift, ASCs are turning a sharper eye toward their contracting strategies. Leaders say proactive contract management is not just a back-office function, it’s a survival imperative. Adam Bruggeman, MD, CEO and founder of…
Stark law compliance remains a high-stakes issue for healthcare organizations. Here are three settlements that physicians and ASC leaders should be aware of: 1. Gulfcoast Eye Care, operating as Pinellas Eye Care in Florida, agreed to pay $615,000 to resolve…
A Louisiana man pleaded guilty to his role in a $3.8 million fraud scheme involving medically unnecessary medical equipment and physician kickbacks, the Justice Department said in a June 5 news release. What happened? What’s next?