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…
ASC Coding, Billing & Collections
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…
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The U.S. physician workforce is under growing pressure from multiple directions — economic uncertainty, burnout, declining autonomy and policy shifts. A recent wave of data reveals concerning trends that are leaving many physicians alarmed about the future of their profession.…
In a June 10 Medscape article, Shawn Martin and Patricia Turner, MD, detail how the current Medicare physician payment system adversely affects both physicians and the patients they serve. The authors argue that while short-term boosts to reimbursement are being…
Paul Hughes of Omaha, Neb., was sentenced for fraudulently obtaining controlled substances and making false statements to the federal government, according to a June 6 news release from the Justice Department. What happened?
The CEO of a healthcare software company was convicted for his role in a more than $1 billion scheme that involved fraudulent physicians’ orders to Medicare and other payers, , according to a June 3 news release from the Justice…
As economic pressures mount and payer dynamics shift, ASCs are turning a sharper eye toward their contracting strategies. Leaders say proactive contract management is not just a back-office function, it’s a survival imperative. Adam Bruggeman, MD, CEO and founder of…