ASC Coding, Billing & Collections

The contracted rate isn’t the whole story. Two ASC administrators said payer talks this year came down to fine print, implant costs and case-level cost data. Editor’s note: Responses have been lightly edited for clarity and length. Question: What’s changed…

Two ASC administrators said this year’s biggest cost pressures are facility compliance, anesthesia coverage, and supplies and technology. Editor’s note: Responses have been lightly edited for clarity and length. Question: What’s the single biggest driver of rising costs at your…

A Las Vegas physician has pleaded guilty to Medicaid fraud and identity theft charges tied to a scheme in which she billed Medicaid and Medicare for services she could not have performed because she was traveling abroad, 8 News Now…

Eleven physician specialties report a median continuing medical education allowance of $5,000 a year, according to a Sept. 24 analysis from clinician salary and job listing platform Marit. The analysis draws on salary submissions from 22,647 physicians and 8,405 advanced…

A federal judge dismissed Blue Cross Blue Shield of Texas’ lawsuit accusing medical billing company Zotec Partners of abusing the No Surprises Act’s independent dispute resolution process. In a Sept. 23 ruling, the judge found the court lacks jurisdiction to…

A Florida physician has been sentenced to probation for his role in a multimillion-dollar Medicare fraud scheme involving medically unnecessary genetic testing and durable medical equipment. Simon Grinshteyn, MD, was sentenced Sept. 22 in federal court in Boston to four…

Eighteen states now generally ban or void noncompete agreements for physicians, according to a September 2026 state-by-state guide from law firm Tucker Arensberg. The firm sorts the rest into three groups. Ten states and Washington, D.C., allow physician noncompetes with…

Health insurers defaulted on 24.5% of No Surprises Act independent dispute resolution line items decided in 2025, according to a new analysis of CMS data from the American Society of Anesthesiologists, the American College of Emergency Physicians and the American…

Although the $100,000 H-1B visa fee has been blocked by the courts since this summer, the White House just extended it for another year. That leaves ASCs that recruit foreign-trained clinicians with no clear answer about what their next hire…

As Medicaid cuts, 340B changes and site-neutral payments squeeze hospital margins, existing Stark law exceptions and Anti-Kickback Statute safe harbors could give hospitals more room to align with physicians than many realize, according to a Sept. 21 brief from law…