From cost differentials to regulatory constraints and payment inequities, here are 10 key notes capturing the state of HOPDs vs. ASCs in 2025. 1. A Blue Health Intelligence analysis revealed procedures performed in HOPDs can cost up to 58% more…
ASC Coding, Billing & Collections
Buffalo, N.Y.-based Catholic Health System agreed to pay more than $3.29 million to settle allegations that it submitted false Medicare claims in violation of the Stark law, the Justice Department said in a May 16 news release. What happened? In…
Republicans in the Senate have proposed new cuts to Medicaid that are more expansive than those proposed by their counterparts in the House of Representatives, further raising concerns from healthcare leaders about the negative effects for health systems, patients and…
ASCs often seek Joint Commission1 accreditation to demonstrate their commitment to patient safety and quality care. Earning ambulatory care accreditation builds credibility among patients, payers and network providers and reinforces a culture where continuous quality improvement of day-to-day operations is…
Four Florida residents have been charged for their role in a Medicare fraud scheme involving physician kickbacks, the Justice Department said in a June 12 news release. What happened?
Advertisement
Physicians at smaller, rural practices were disproportionately penalized by CMS’ Merit-based Incentive Payment System in 2025, according to a June 13 report by the American Medical Association. A large majority, 86%, of MIPS-eligible physicians avoided penalties in 2025, based on…
Becker’s has reported on two physicians who are suing or have sued their former employers over alleged retaliation and contract disputes: 1. Mark Linskey, MD, former chair of the UC Irvine Department of Neurological Surgery, was awarded $5.8 million in…
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?
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…