Two Sutter Health facilities, including an ASC, have agreed to pay $3.2 million to resolve allegations of failing to guard against the theft and diversion of controlled substances, the Justice Department said in a March 26 news release. Sutter Medical…
ASC Coding, Billing & Collections
Despite policy efforts to increase reimbursement, spending per Medicare beneficiary on primary care physicians fell from $438 in 2017 to $420 in 2023, according to a March report published in Health Affairs. Here are 10 things to know: 1. Primary…
In December 2025, HHS, alongside the Labor and Treasury departments, proposed significant updates to healthcare price transparency rules. Comments for the proposed updates were due by March 2, 2026, and the proposals will take effect 12 months after the rules…
As outpatient surgery continues its rapid migration from hospitals, a tension is emerging: the same payers pushing care into lower-cost settings are also making it harder to deliver it. From prior authorization delays and denials to shifting federal policy and…
Practice owners receive only 35% of income from salary compared to 69.5% for employees, with 40.8% from productivity and 18.2% from practice financial performance, according to the American Medical Association’s policy research perspective published March 2029. The report analyzed physician…
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The Justice Department has accused NewYork-Presbyterian, a New York City health system, of stifling competition through restrictive payer contracts that steered patients away from lower-cost care settings, including ASCs. According to court documents, NewYork-Presbyterian leverages its market dominance to negotiate…
A Washington physician has been sentenced to one year and a day in federal prison for purchasing recalled CPAP and BiPAP devices, attempting to remove defective foam components and billing Medicaid for the adulterated equipment as if it were new,…
Amherst, N.Y.-based Excelsior Orthopaedics and Buffalo (N.Y.) Surgery Center have agreed to pay $2.4 million to settle a class-action lawsuit stemming from a 2024 data breach, according to a March 23 report from Claim Depot. The practice detected unusual activity…
The Federal Trade Commission is ramping up scrutiny of healthcare markets, and physicians are likely to feel the effects. Here are 10 things to know: 1. The FTC is forming a dedicated Healthcare Task Force. FTC Chair Andrew Ferguson directed…
There have been a flurry of CMS policy updates and controversies over the course of the last month that could reshape reimbursement, supply chain and clinical decision-making for ASC leaders and physicians. Here are four CMS updates that ASC leaders…