ASC Coding, Billing & Collections

ASC leaders across the country say their peers are forfeiting significant revenue and negotiating leverage by failing to adapt to a payer landscape that is growing more complex, more competitive and, in some cases, more predatory.  Here are four specific…

Robert Tassin, MD, a physician in Slidell, La., was sentenced April 9 to probation for a scheme to bill Medicare for medically unnecessary tests.  From February to September 2019, Dr. Tassin worked with telemedicine companies, signing  orders for cancer genetics…

A podiatrist and sales representative were each sentenced to 63 months in prison for conspiracy to commit healthcare fraud, according to an April 13 news release from the Justice Department.  Felipe Ruiz, DPM, was the sole owner of a multilocation…

Dallas-based United Surgical Partners International’s strategy over the past decade is a deliberate transformation with Tenet selling off its hospital portfolio and reinvesting the proceeds into USPI as its core growth engine. Here’s a breakdown of USPI’s last 10 years:…

ASCs have spent decades perfecting high-volume, low-acuity procedures. But as reimbursement models shift, technology advances and patients increasingly prefer outpatient settings, industry leaders say ASCs are failing to capitalize on a significant and growing opportunity in higher-acuity care. ASCs that…

Many physicians believe the work relative value units, or wRVU, model was built for a different era — one that didn’t account for burnout, cognitive work, care coordination or the slow erosion of clinical judgment that comes from optimizing for…

New American Medical Association data shows that between 2014 and 2024, physician-owners drew a growing share of their income from salary and a shrinking share from productivity and practice financial performance. The AMA’s “Policy Research Perspectives Report” includes 2024 data…

A 2024 CMS rule now requires payers, including Medicare Advantage plans, Medicaid, CHIP and ACA exchange carriers, to publicly report prior authorization metrics for the first time.  The public reporting mandate arrives after years of mounting frustration over prior auth…

There is a stark split across specialties in how physician compensation is structured, according to recent data from the American Medical Association.  Psychiatrists and pediatricians draw roughly two-thirds of their pay as salary, with little tied to how much they…

While compensation rose roughly 3% across the board in 2025, an April 10 Medscape report found.a stark divide between the highest and lowest-paying specialties.  The report, which surveyed 5,916 physicians across more than 29 specialties from Sept. 5 to Dec.…