Anderson, S.C.-based Clinical Laboratory, formerly known as Labtech Diagnostics, agreed to pay at least $6.8 million to resolve allegations it paid illegal kickbacks to physicians, according to a Jan. 8 news release from the Justice Department. What happened?
ASC Coding, Billing & Collections
Memphis-based physician Sanjeev Kumar has been convicted for 40 criminal counts on healthcare fraud and improper reuse of medical devices, according to a Jan. 8 news release from the U.S. Attorney’s Office for the Western District of Tennessee. What happened?
From CMS updates to certificate-of-need laws, several policy changes in the last 18 months signal a major shift in how ASCs are taxed, licensed and regulated at both the state and federal levels. Below is a breakdown of the newest…
UnitedHealthcare is updating its reimbursement policy for radiology services billed with evaluation and management services for dates of service on or after April 1. Beginning April 1, when the same provider bills both an E/M service and a global radiology…
Malpractice awards of over $10 million are being doled out more frequently in recent years, the American Medical Association reported Jan. 2. Here are six takeaways from the report: 1. According to an AMA report released in February 2025, there…
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As reimbursement pressure intensifies and payers accelerate site-of-service shifts, ASCs are entering 2025 facing a payer landscape that is becoming increasingly unpredictable. Andrew Lovewell, CEO of Columbia Orthopaedic Group, joined Becker’s to discuss how payer dynamics are evolving and where…
In October, CMS announced the launch of a new prior authorization demonstration that would introduce new requirements for select services. This comes just four months after news of an agreement between CMS and Medicare Advantage plans to lessen the use…
Payer and employer pressure to lower healthcare costs is accelerating the shift of surgical procedures into ambulatory surgery centers, according to Jeffrey Flynn, COO of Gramercy Healthcare and president of the New York State Association of Ambulatory Surgery Centers. Mr.…
Austin, Texas-based Advanced Pain Care and its founder Mark Malone, MD, have agreed to pay $13.6 million to resolve allegations of submitting false claims to federal and state healthcare programs for urine drug testing, the Justice Department said in a…
A federal grand jury indicted California-based Done Global and Florida-based Mindful Mental Wellness for their alleged roles in a scheme to illegally distribute Adderall and commit healthcare fraud, according to a Dec. 16 news release from the Justice Department. What…