Drawing on his three-plus decades of experience defending hospitals and physicians, Attorney Lee S. Goldsmith, MD, shared the common reasons behind medical malpractice suits in a Medscape article.
ASC Coding, Billing & Collections
Former University City, Mo.-based physician Devon Golding, MD, was found guilty of conspiracy and four healthcare fraud charges Oct. 19, the St. Louis Post-Dispatch reports.
For the last several years, ASCs — like nearly all healthcare providers — have witnessed firsthand a growing shift in the responsibility for payment of services from payers to consumers. This has created numerous obstacles for the delivery of surgical…
CMS revised a chapter in the Medicare Program Integrity Manual, which details policies and procedures for Medicare Administrative Contractors and provides guidance for stakeholder engagement.
Designed to reduce the cost of high-volume, high-cost procedures within ASCs, bundled payments are expected to comprise 17 percent of all medical payment types by 2022, according to a new whitepaper by Westchester, Ill.-based Regent Surgical Health.
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Mashiyat Rashid, the CEO of the West Bloomfield, Mich.-based Tri-County Wellness Group, pled guilty to one count of conspiracy to commit healthcare and wire fraud, as well as one count of money laundering.
UnitedHealth Group paid $69 billion, or nearly half of its annual reimbursement, toward value-based care models through the third quarter of 2018, Forbes reports.
Network adequacy laws are designed to prevent patients from receiving out-of-network anesthesia care at in-network facilities — and receiving surprise bills as a result, according to Anesthesia Business Consultants President and CEO Tony Mira.
With CMS expecting to pay ASCs $4.89 billion in 2019, physicians should strongly consider surgery center ownership, according to Advisory Law Group's Mark F. Weiss.
Premier Surgical Pavilion sued Horizon Blue Cross Blue Shield of New Jersey for allegedly using an improper formula to calculate reimbursements for benefits claims, Law360 reported.