On April 10, CMS Administrator Mehmet Oz, MD, announced his vision for the agency, which includes a commitment to President Trump’s “Make America Healthy Again” agenda and modernizing Medicare, Medicaid and the ACA marketplace. Here’s five things for ASCs and…
ASC Coding, Billing & Collections
Becker’s has reported on nine physicians who are facing fraud cases in the last month:
Miramar, Fla.-based Vohra Wound Physicians Management and its founder Ameet Vohra, MD, are facing a federal complaint alleging a Medicare fraud scheme involving overbilling and unnecessary wound care services provided to nursing home patients, according to an April 4 news…
On April 5, the Senate passed an amended fiscal 2025 budget revolution that maintained proposed cuts to Medicaid, including the introduction of work requirements. Here are 10 things to know about the work requirements and what they mean for physicians: …
CMS has released its final rule for Medicare Advantage and Part D for 2026, introducing several regulatory changes aimed at improving care coordination and beneficiary protections. While the rule includes important updates, such as streamlining prior authorization processes and clarifying…
Advertisement
Physician reimbursement is often at the heart of healthcare policy debates, yet key perspectives remain overlooked. Six physicians joined Becker’s to discuss what they believe is missing in conversations about physician reimbursements. Editor’s note: Responses have been lightly edited for…
Constitution Billing and Financial Services, a subsidiary of Constitution Surgery Alliance, and medical coding company Milagro have partnered to launch a new billing platform at all CSA ASCs. Milgaro’s coding platform will be in use across CSA’s network, according to…
After about six hours of voting, the Senate passed an amended fiscal year 2025 budget resolution in a 51-48 vote on April 5, advancing efforts to potentially initiate the reconciliation process — and keeping proposed Medicaid cuts in focus. The…
Beckley, W.V.-based Med-Surg Physician Group and its owner Oluyemisi Sangodeyi, MD, agreed to pay $152,382 to settle allegations they submitted false Medicare and Medicaid claims and falsely certified compliance with program requirements, according to an April 2 news release from…
A national sales director from Port Jefferson, N.Y., has pleaded guilty to a scheme involving kickbacks to physicians in exchange for ordering unnecessary brain scans, resulting in $70.6 million in fraudulent Medicare claims, according to an April 2 news release…