A federal judge dismissed Blue Cross Blue Shield of Texas’ lawsuit accusing medical billing company Zotec Partners of abusing the No Surprises Act’s independent dispute resolution process. In a Sept. 23 ruling, the judge found the court lacks jurisdiction to…
ASC Coding, Billing & Collections
A Florida physician has been sentenced to probation for his role in a multimillion-dollar Medicare fraud scheme involving medically unnecessary genetic testing and durable medical equipment. Simon Grinshteyn, MD, was sentenced Sept. 22 in federal court in Boston to four…
Eighteen states now generally ban or void noncompete agreements for physicians, according to a September 2026 state-by-state guide from law firm Tucker Arensberg. The firm sorts the rest into three groups. Ten states and Washington, D.C., allow physician noncompetes with…
Health insurers defaulted on 24.5% of No Surprises Act independent dispute resolution line items decided in 2025, according to a new analysis of CMS data from the American Society of Anesthesiologists, the American College of Emergency Physicians and the American…
Although the $100,000 H-1B visa fee has been blocked by the courts since this summer, the White House just extended it for another year. That leaves ASCs that recruit foreign-trained clinicians with no clear answer about what their next hire…
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As Medicaid cuts, 340B changes and site-neutral payments squeeze hospital margins, existing Stark law exceptions and Anti-Kickback Statute safe harbors could give hospitals more room to align with physicians than many realize, according to a Sept. 21 brief from law…
A gastroenterologist in Fort Walton Beach, Fla., has agreed to pay $300,000 to resolve Controlled Substances Act allegations that he unlawfully prescribed opioids. The Justice Department alleged that between June 15, 2023, and March 7, 2025, Twan Phanijphand, MD, unlawfully…
On Aug. 27, the American Medical Association and more than 150 other physician and healthcare organizations — including nearly every major national specialty society and 49 state and District of Columbia medical associations — sent a joint letter to CMS…
Elevance Health’s out-of-network penalty policy has been met with significant resistance — and another lawsuit filed Sept. 17 is adding fuel to the fire. The Neurological Surgery Practice of Long Island filed the complaint in a New York federal court,…
Management services organizations and physician practice management platforms depend on the management fee paid by the clinical practice to the MSO, but an unvalidated or inflated fee is drawing intensifying federal and state fraud scrutiny, according to a Sept. 15…