Medicare-certified ASCs are subject to numerous federal laws — including the Anti-Kickback Statute — that require compliance when bringing in or terminating surgeon owners, according to a recent article in the March 2025 issue of Surgery Business magazine. Here are…
ASC Coding, Billing & Collections
Medicare payments to ASCs jumped nearly $2 billion between 2018 and 2023, according to a March 13 MedPAC report to Congress. Here’s a chart illustrating the growth in Medicare fee-for-service payments to ASCs from 2018 to 2023: Year Medicare payments…
Radiologists lead as the highest-paid physicians per hour, according to a recent survey by the American Medical Association. Here are the physician specialties with the highest hourly compensation: Specialty Average hourly pay Radiology $281.27 Otolaryngology $255.50 Gastroenterology $249.66 Cardiology $240.54…
Payer behavior continues to be one of the biggest challenges facing ASCs and other outpatient facilities. As reimbursement pressures mount, ASCs are exploring new partnerships to improve care coordination and drive efficiencies. But without meaningful engagement from payers, progress remains…
As Congress wrestles with the future of Medicaid funding, ASCs, physicians and hospitals nationwide are bracing for potential financial turmoil. Currently, the federal government covers 90% of costs for Medicaid expansion enrollees in the 41 states (including Washington, D.C.) that…
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As more high-acuity procedures become available in the ASC setting, less-invasive procedures, like cataract surgery and hand procedures, have begun shifting to office-based settings. Kayla Carey, COO of Rosemont, Ill.-based Ambulatory Anesthesia Care, recently joined Becker’s to share data and…
As ASCs continue to grow in popularity, they face increasing competition from hospital outpatient departments. Alejandro Badia, MD, founder and CMO at Miami-based Badia Hand to Shoulder Center, joined Becker’s to discuss how ASCs can differentiate themselves from HOPDs. Question:…
A physician in Slidell, La., has been charged in connection with an alleged $6.6 million fraud scheme. Between February and September 2019, Robert Tassin, MD, allegedly signed physician orders for genetic cancer screening tests through purported telemedicine companies for Medicare…
On March 8, House Republicans released a seven-month funding plan to avoid a government shutdown. The measure locked in a 2.83% cut CMS to physician pay for 2025, but Rep. Greg Murphy, MD, said his proposal to undo the pay…
The Medical Group Management Association is pushing for reforms to the Stark law, arguing that it no longer aligns with modern, value-based payment models, according to its 2025 Advocacy Agenda, released on March 5.