ASC Coding, Billing & Collections

From sweeping drug price reforms to proposed staffing mandates and changes to Medicaid financing, here are five federal policy moves from the last week that ASCs need to know: CMS proposes updates for third round of Medicare drug price negotiations…

More than 60% of hospitals and health systems report that payers are pressuring them to ASC options for appropriate cases, according to Avanza’s Intelligence Hospital Leadership ASC Survey. Here are four key insights from the survey:

Fresno, Calif.-based Community Health System and its affiliate Physician Network Advantage have agreed to pay $31.5 million to settle allegations they violated the False Claims Act and Stark law by providing benefits to physicians in exchange for patient referrals, according…

Hospital and health system ownership of ASCs has nearly doubled in five years, according to Avanza’s Intelligence Hospital Leadership ASC Survey.  In 2024, 82% of hospitals and health systems own at least one ASC, up from 41% in 2019 and…

The nation-wide average of physician pay satisfaction is 3.59, according to a new report from recently launched salary transparency platform Marit Health. Marit Health ranked pay satisfaction on a 5-point scale, with 1 representing very dissatisfied with pay and 5…

Lawmakers and federal agencies are proposing sweeping changes to Medicaid with a new bill and a CMS rule. Here are 10 things ASCs need to know on the two moves: House Republicans introduce a bill to implement Medicaid work requirements…

Chiropractor Michael Lea and his company have filed a lawsuit against Multidisciplinary Business Applications, doing business as Concierge Coaches, alleging fraud and breach of contract, according to a May 11 report from the Florida Record What happened?

Nearly half (43%) of medical practices in the U.S. have been using AI at work for over a year, with 36% of practicing physicians, nurses and IT professionals using it to transcribe patient notes.  In addition, several practices are using…

Here are five recent Stark law updates and reports that physicians need to know: CMS recently issued rare Stark law guidance for physician-owned hospitals CMS recently issued a rare Stark law advisory opinion allowing a physician-owned hospital to relocate eight…

CMS has recently confirmed, through Self-Referral Disclosure Protocol submissions, that the “Payments by a Physician” exception under the Stark law may apply more broadly than many physicians have believed, according to a May 2 blog post from the law firm…