ASCs, physicians and hospitals alike have struggled with declining reimbursements, patient care issues and administrative burdens associated with Medicare Advantage plans — pushing some to drop the program entirely.
ASC Coding, Billing & Collections
Physicians are facing increasing economic challenges that threaten their autonomy as healthcare consolidations.
About 40% of physicians believe practitioners have no obligation to take on Medicaid patients, according to the second part of Medscape's "Hot Topics in the Medical Profession Report 2024," published Oct. 9.
From Stark law violations to the overturning legal precedents, several significant legal developments occurred within healthcare fraud enforcement in the third quarter of 2024.
A federal judge in Florida has dismissed a whistleblower lawsuit accusing a medical practice of inflating Medicare reimbursements, citing constitutional concerns over the False Claims Act's qui tam provisions, law.com reported Oct. 4.
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Denials of claims are increasing, along with the administrative burden of managing them, according to Experian Health's "2024 State of Claims" survey.
Migrating procedures to the ASC setting has the potential to save patients, payers and healthcare money.
Stark law has evolved into a complex framework that continues to challenge physicians, and as regulatory changes and enforcement actions escalate, leaders are grappling with how best to comply with these laws.
Nearly 75% of providers report an increase in claim denials, a 31% jump since 2022, according to the Experian Health's "2024 State of Claims" survey.
The future of Stark law is "clouded by uncertainty" after a district court ruled that a false claims lawsuit filed against Thomas Health System cannot be resolved without parties' briefs on the U.S. Supreme Court's recent overturning of the Chevron…