Orthopedic surgery is moving out of the hospital faster than any payment system was built to handle, and the fight over who gets paid what for that shift is now the defining question for ASCs heading into 2026. The migration…
ASC Coding, Billing & Collections
Anesthesia costs have become the biggest financial surprise hitting ASCs, and four surgery center leaders say the shift happened faster than most expected. Before 2022, most ASCs paid nothing for anesthesia coverage. Today, stipends and daily guarantees have turned anesthesia…
The compensation number a physician is quoted at signing is rarely the one that shows up in their bank account. The gap between physician’s headline compensation figure and actual take-home is wide, and three physician leaders joined Becker’s to discuss…
Productivity-based compensation is often pitched to physicians as a fairer model — work more, earn more, with a direct line between output and pay. Three physician leaders joined Becker’s to discuss how the reality is more complicated. Hidden overhead quietly…
A Pennsylvania physician has agreed to pay $100,000 and enter into a three-year compliance agreement with the DEA to resolve allegations of failing to maintain accurate controlled substance records and improperly handling controlled substances at his Pottstown practice, the Justice…
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The cost pressures bearing down on ASCs are not uniform. What is squeezing a GI center is different from what is compressing an orthopedic program or a cardiology ASC, and the mix of pressures matters for how administrators respond. GI:…
The No Surprises Act, passed in 2020 and implemented in 2022, was designed to protect patients from unexpected out-of-network bills. But embedded in it is a federal independent dispute resolution process that lets out-of-network providers contest what insurers paid them…
CMS is proposing new authority to deny or revoke Medicare enrollment for physicians, ASCs and other providers and suppliers, including grounds tied to provider density in a given market, certain misdemeanor convictions and retroactive payment recoupment. The proposal is tucked…
A Frederick, Md. oncology practice and its physician owner have agreed to pay $1.45 million to resolve False Claims Act allegations of billing Medicare, Medicaid and the VA for chemotherapy drugs that were never paid for or never administered to…
CMS proposed a rule July 2 that would revise Medicare payment rates for HOPDs and ASCs starting in 2027. Here are five things ASC leaders need to know. 1. More surgeries will shift to ASCs. The rule proposes continuing to…