At least 30 physician practices and ASCs closed or announced closures in the first half of 2026, and Becker’s reported 23 physician practice closures in all of 2025. More practices are also going bankrupt. Clinics and physician practices made up…
ASC Coding, Billing & Collections
Independence Blue Cross has agreed to pay $22.5 million to resolve allegations that it used inaccurate diagnosis codes to inflate its Medicare Advantage payments, according to a Sept. 30 Justice Department news release. The government alleged the insurer violated the…
At least 17 physician practices, medical groups and physician staffing firms have filed for bankruptcy since January 2024. Physician practices and clinics made up almost 30% of healthcare bankruptcy filings in the first half of 2026, which puts the sector…
Elevance Health is taking aim at one of health systems’ most profitable billing practices. The insurer plans to require hospitals to list where care was physically delivered on claims, and it will pay off-campus services at off-campus rates rather than…
Shifting reimbursement for physician-administered drugs from hospital outpatient rates to physician-office rates could save employers and workers about $12.7 billion a year, according to new research from the Washington, D.C.-based Employee Benefit Research Institute, which found HOPDs were paid an…
Houston-based federal prosecutors have filed a False Claims Act lawsuit against a Texas physician accused of billing Medicare nearly $500,000 for surgical neurostimulator electrode implantations he allegedly never performed. Michael Neret, MD, owns and manages Neret MD Medical Clinic and…
Patients rate billing just 1.75 out of 5 nationally, even as overall care scores top 3.79 in every state analyzed, according to Tellex Data Brief 002, released in September 2026. Tellex analyzed 40 million patient accounts drawn from public reviews,…
A federal jury in Fort Worth convicted Texas licensed professional counselor Kevin Curry in a $26 million healthcare fraud, kickbacks and money laundering scheme. Mr. Curry owned and operated Acuity TMS of Plano and Acuity TMS of Fort Worth in…
The number of nurse practitioners in the U.S. grew 205% from 2012 to 2025, while the physician workforce grew 31%, according to an Ataraxis analysis of Bureau of Labor Statistics data. Ataraxis provides virtual administrative staff to medical practices. The…
Federal enforcers have resolved at least four fraud cases tied to ASCs so far in 2026, totaling about $11.3 million, according to announcements from the Justice Department and HHS’ Office of Inspector General. The cases involve Stark law and Anti-Kickback…
