Several recent updates to reimbursement policies by both CMS and commercial payers could have a significant impact on ASCs and their financial stability UnitedHealthcare cuts CRNA reimbursements On Oct. 1, a UHC policy update went into effect that cuts reimbursements…
ASC Coding, Billing & Collections
Becker’s has recently reported on four physicians who have filed or won lawsuits against their former employers. 1. John Murphy, MD, an OB-GYN, filed a lawsuit against Bend, Ore.-based St. Charles Health system, alleging it forced him into closing his…
A number of federal policies proposed or enacted in the last year are expected to have a significant impact on ASCs. In July, CMS released its proposed rules for 2026, which included the addition of hundreds of procedures to the…
Here are five notable developments from Cigna over the last month: 1. The Cigna Group has named Eva Borden as chief product officer for its commercial insurance business. Ms. Borden, who joined Cigna in 1999, has held multiple leadership roles.…
An OB-GYN in Reno, Nev., has been arrested for allegedly defrauding healthcare programs by submitting false claims for unnecessary gynecologic tests and surgeries, some of which caused serious medical complications, the Justice Department said in a Sept. 25 news release.…
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A physician in Southfield, Mich., was sentenced to six years in prison for illegally distributing opioids, the Justice Department said in a Sept. 24 news release. What happened?
A Clovis, Calif., podiatrist and a sales representative pleaded guilty to conspiring to commit healthcare fraud, the Justice Department said Sept. 23. What happened?
A physician in Bensalem, Pa., was sentenced to 168 months and must pay $4 million for his role in an illegal opioid fraud scheme, the Justice Department said in a Sept. 23 news release. What happened?
Hospitals are under pressure to do three things at once. Keep doors open for injured patients. Improve revenue capture despite rising denials. Reduce downstream bad debt and write-offs. Nowhere is that tension sharper than in personal-injury care, where payment timing…
Executives at major health systems and physician groups are pushing back against the CMS proposed 2026 Physician Fee Schedule and changes to the Medicare Shared Savings Program, warning the updates fail to keep pace with rising costs and could cut…