A federal jury has convicted a Kentucky physician, among other parties, for his role in a scheme to defraud Medicare and Kentucky Medicaid via Kentucky Addiction Centers, according to a March 26 news release from the Justice Department. What happened? …
ASC Coding, Billing & Collections
ASCs are seeing a slight increase in case cancellations, averaging a 21% cancellation rate in 2024 — up from 20% in 2023, according to HST Pathways’ latest “State of the Industry Report.” Here are four more insights: 1. Seventy-seven percent…
A March 14 MedPAC report found that while certificate-of-need laws are a major factor in ASC development, other state-specific factors, such as healthcare payment models and demographics, can blunt their effects. Here are five things to know certificate-of-need laws and…
The Alabama Board of Medical Examiners has proposed significant changes to regulations surrounding office-based surgeries in Alabama, according to an article by law firm Burr & Forman published in JD Supra March 24. Here are 10 things to know about…
Medicaid is under scrutiny as Republican lawmakers eye big healthcare budget cuts for this year. Five ASC leaders joined Becker’s to discuss how they’re preparing for these cuts. Question: With potential Medicaid cuts on the horizon, how concerned are you…
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Extracapsular cataract removal with intraocular lens implantation is the most commonly billed Medicare procedure at ASCs, according to the latest report from the Medicare Payment Advisory Commission. Here are the 20 most commonly billed ASC procedures and their percentage of…
A law passed in New York last year sought to prohibit medical practices from requiring patients to sign consent-to-pay forms before receiving treatments or discussing costs. But state officials, patient advocates and health professionals remain embroiled in a “tug-of-war” over…
Emeryville, Calif.-based, physician-owned Vituity has agreed to pay $8.75 million to settle a class action lawsuit alleging mismanagement of its 401(k) plan, including excessive fees and imprudent investments, according to court documents accessed by Becker’s. What happened? What’s next?
The number of ASCs treating Medicare beneficiaries continued to rise in 2023, with an increasing volume of procedures and spending, according to the latest report from the Medicare Payment Advisory Commission. Here are five key facts to know: 1. The…
On Feb. 25, President Donald Trump signed an executive order targeted at boosting healthcare price transparency. The order directs HHS and the Labor and Treasury departments to “rapidly implement and enforce” healthcare price transparency enforcement regulations. The order refers to…