A Columbus, Ohio-based former physician was sentenced to 24 months in prison for a $1.5 million Medicaid fraud scheme, the Ohio Attorney General said in a June 25 news release. What happened?
ASC Coding, Billing & Collections
Treating personal injury patients can be a high-reward model—but for many providers, the administrative overhead makes it feel more like a liability than an opportunity. Delays in reimbursement, ever-changing documentation requirements, and a growing volume of legal requests have made…
A Chesterfield, Mo.-based physician has been sentenced to five years in prison and ordered to pay $2.87 million in restitution for his role in a healthcare fraud scheme, the Justice Department announced in a June 20 news release. What happened?
Two Florida physician groups and two physicians have agreed to pay $810,301 to settle allegations that they violated the False Claims Act, the Justice Department said in a June 20 news release. What happened?
Nearly 50 major insurers have announced a sweeping set of voluntary commitments aimed at simplifying prior authorization processes across commercial, Medicare Advantage and Medicaid managed care plans, potentially affecting 257 million Americans. Here’s what ASCs need to know: 1. Participating…
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From real estate and retirement plans to AI and ASCs, 14 physician leaders joined Becker’s to discuss the one investment they believe their peers can’t afford to miss right now. Editor’s note: These responses were edited lightly for clarity or brevity. …
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…
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…