Some surgical assistants are using arbitration provisions in federal billing law to collect far more than the surgeons they assist, according to The New York Times. Surgical assistants are typically paid a standard fee equal to about 16% of a…
ASC Coding, Billing & Collections
A Des Moines, Iowa, plastic surgeon has been named in a federal False Claims Act complaint alleging he submitted fraudulent invoices to Medicare to inflate reimbursements for skin substitute products used to treat wounds following Mohs surgery, according June 23…
California Attorney General Rob Bonta has reached a $4.5 million settlement with Bay Area-based telehealth company Carbon Health Technologies and its co-founder and former CEO Eren Bali over allegations of violating California’s prohibition on the corporate practice of medicine and…
Prior authorization reform is moving on multiple fronts in 2026 — through Congress, state capitals, federal courtrooms and the exam rooms where physicians spend an average of 13 hours per week on PA paperwork alone. Here are 10 recent updates…
For physicians weighing a career move, state income tax is often the deciding variable, and in high-earning specialties, the wrong state can cost more than $50,000 a year. Here are five things to know: 2. According to a report from…
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Two urologists have agreed to pay a combined $2.2 million to resolve False Claims Act allegations of performing medically unnecessary surgical procedures involving an implantable neurostimulation device and billing Medicare for the unnecessary procedures, the Justice Department said in a…
Stark law violations often surface through claims data, whistleblowers and audit trails, sometimes years after the arrangement in question was put in place. Here are four things physicians need to know: 1. Strict liability means intent doesn’t matter. The Stark…
A Fort Worth, Texas cardiologist has been charged in an $89 million healthcare fraud scheme involving medically unnecessary cardiovascular screening tests on college student athletes, including one who died of sudden cardiac arrest approximately 24 days after the physician allegedly…
When Mike Verdon, MD, a neurosurgeon in Dayton, Ohio, first heard about the Ambulatory Specialty Model, his reaction was alarm — not for himself, but for the colleagues he looked up on the CMS participant list. “I looked, I’m not…
Total clinical compensation rose 4.3% in 2025, but about half of that growth is being funded by providers doing more work, not by gains in reimbursement, according to the AMGA 2026 Medical Group Compensation and Productivity Survey shared with Becker’s. …