Physician-staffed primary care networks, an independent multispecialty group and a physician-owned surgery center have all sought banktupcy protection this year, alongside hospitals whose financial collapse directly threatens physician jobs and referral networks. Clinics and physician practices accounted for almost 30%…
ASC Coding, Billing & Collections
A Brookings Institution analysis published Sept. 3 mapping vertical integration among the five largest U.S. health insurers found UnitedHealth Group’s Optum Health division generated $100.5 billion in 2025 revenue, 63% of it paid by UnitedHealth’s own health plans. That structure…
The Louisiana Supreme Court heard oral arguments Sept. 1 on whether to reinstate a $421 million fraud verdict against Blue Cross Blue Shield of Louisiana, Fox8 reported, reviving a yearslong legal fight over the Baton Rouge, La.-based insurer’s payments for…
A Wake County family nurse practitioner is challenging a North Carolina law that requires her to contract with a physician before she can practice in the state. Jamie Gallagher filed suit Sept. 2 against leaders of the state medical and…
Louisville, Ky.-based Heuser Health has agreed to pay $2.6 million to resolve allegations that it violated the False Claims Act by overbilling Medicare and Tricare for skin substitute products, the U.S. Attorney’s Office for the Western District of Kentucky said…
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New federal data shows the independent dispute resolution process created under the No Surprises Act is being used more than ever. Total federal IDR disputes rose from 653,445 in Q3 of 2025 to 719,118 in Q4 of 2025 — a…
The Ambulatory Surgery Center Association submitted formal comments to the Centers for Medicare & Medicaid Services on Aug. 31, 2026, urging the agency to eliminate the ASC weight scalar in the proposed calendar year 2027 Outpatient Prospective Payment System and…
Interventional radiology and neurosurgery posted the largest physician pay increases of any specialty over the last year, according to Doximity’s 2026 Physician Compensation Report. Doximity, a digital platform for U.S. medical professionals, released the report Aug. 25. It draws on…
A narrow regulatory exception allows hospitals and health systems to provide referring physicians with free or discounted EHR software, but missing even one condition turns the arrangement into a potential kickback violation under the Stark law and Anti-Kickback Statute, according…
Physicians remain among the highest-paid professionals in the U.S., but salary alone may be a poor measure of whether they feel fairly compensated. From uncompensated administrative work and rising practice expenses to outdated salary benchmarks and payment models, physicians have…