UnitedHealthcare is paring down prior authorizations for 30% of services with these requirements, according to a May 5 news release. These cuts will take place by the end of 2026. UnitedHealthcare will roll back authorization requirements for some outpatient surgeries, diagnostic tests…
ASC Coding, Billing & Collections
The ASC Quality Collaboration has launched its second annual ASC Safety & Quality Assessment in an effort to advance patient safety and quality of care at ASCs across the U.S. The survey launched officially May 1, according to a news…
A Jacksonville, Fla.-based multispecialty physician practice is facing a potential class action lawsuit following a November 2025 data breach, according to a May 3 news release. Florida Physician Specialists discovered its network was accessed by an unauthorized third party between…
From six-figure mortgages to medical school loans they’re still paying off years into their careers, physicians carry a surprisingly heavy financial load, even as most say they feel confident in how they’re managing it, according to Medscape’s 2026 “Physician Wealth…
The work relative value unit model was designed to standardize how physician labor gets measured and paid. Decades later, the data suggests it has struggled to keep pace with the realities of modern practice. Here are six stats that capture…
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A Naples, Fla., allergist and immunologist has been named in a federal civil complaint alleging he falsified patient diagnoses to obtain Medicare coverage for immune globulin treatments, the Justice Department said in an April 30 news release. Kevin Rosenbach, MD,…
A physician in Newark, Del., has agreed to pay $180,000 to resolve False Claims Act allegations relating to fraudulent genetic testing. Between April and November 2019, Shayasta Mufti, MD, ordered medically unnecessary genetic tests for more than 100 Medicare patients,…
In 2024, 1.8% of physicians were sued in the previous year, down from 2.3% in 2016 and a peak of 7.4% annually between 1991 and 2005, according to research from the American Medical Association. The AMA published two policy research…
In an updated analysis of a 2020 report, “Reducing Medicare Costs by Migrating Volume from Hospital Outpatient Departments to Ambulatory Surgery Centers,” the Ambulatory Surgery Center Association lays out the cost savings generated by ASCs since 2019 and projects how…
Physician net worth is climbing, with the share of physicians worth $5 million or more nearly doubling since 2023, but beneath that number, significant gaps persist across gender and race, according to Medscape’s 2026 “Physician Wealth and Debt Report.” Physician…