A former sales director for the Northeast region of a mobile medical diagnostics company that performed transcranial doppler scans was sentenced for conspiring to offer and pay kickbacks to physicians in exchange for ordering medically unnecessary brain scans, according to…
ASC Coding, Billing & Collections
Physicians told Becker’s that the next major shift in medicine won’t be a new device or breakthrough drug, but the accelerating shift from fee-for-service to value-based purchasing. Cost pressures, patient frustration and employer fatigue are converging in ways that may…
Bethany Cataldi, DO, Chesterton, Ind., was sentenced to 97 months imprisonment after pleading guilty to a $50 million healthcare fraud scheme, according to a Feb. 19 news release from the U.S. Attorney’s Office for the Northern District of Indiana. What…
ASC leaders say the pressure facing independent centers isn’t limited to reimbursement cuts, and that payer tactics that restrict network access and redirect referrals are gradually shrinking surgical volume. Andrew Lovewell, CEO of Columbia (Mo.) Orthopaedic Group, told Becker’s that…
CMS isn’t just tweaking ASC policies in 2026; it’s remolding the financial and regulatory foundation of outpatient surgery. From a major expansion of procedures allowed in the setting to the phaseout of the Medicare inpatient-only list and rollout of AI-supported…
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Here are six payer updates since the start of 2026 that ASC should know: 1. CMS finalized a 2.6% payment increase for ASCs in its November rule, continuing its use of the hospital market basket update, but SCA Health executives…
Timothy Doyle, of Selden, N.Y., was sentenced to 14 months in prison for conspiring to offer and pay kickbacks to physicians in exchange for ordering medically unnecessary brain scans, according to a Feb. 13 news release from the U.S. Attorney’s…
From anesthesia stipends to implant sticker shock, ASC leaders say the math between what it costs to run cases and what payers reimburse is breaking down. Twenty-two ASC leaders joined Becker’s to discuss which expenses are most out of sync…
CMS’ addition of more than 560 codes to the ASC covered procedure list for 2026 is a milestone for the industry, but SCA Health executives say the real impact, particularly for cardiovascular services, will take time to materialize. The additions…
Atlanta-based Arthritis & Rheumatology Center and its owner, Jatin Patel, MD, will pay $2.18 million to resolve allegations that the practice used medical assistants to perform infusion services in violation of Georgia law and the submitted Medicare claims, according to…