From bundled payments to measurable outcomes, two ASC leaders joined Becker’s to discuss their best practices in leveraging payer relationships. Question: How can ASCs leverage partnerships with payers to create more sustainable reimbursement structures? Editor’s note: These responses were edited…
ASC Coding, Billing & Collections
The Ambulatory Surgical Center Association has submitted its comments in response to CMS’ proposed payment rules for 2026. Here are five points outlined by the ASCA in its comments, according to a Sept. 15 news release shared with Becker’s: 1.…
Irene Oshiyoye, former CEO of a Farmington, Mich.-based physician group, agreed to pay $250,000 to settle allegations of defrauding Medicare and Medicaid, according to a Sept. 12 news release from the Justice Department. What happened?
ASC leaders have been closely monitoring numerous state and federal policy trends that could have significant impact on the industry over the next several years. Meg Stagliano, MSN, president of the New Jersey Association of Ambulatory Surgery Centers, recently joined…
Here are five recent controversies involving UnitedHealthcare, the insurance arm of UnitedHealth Group, as reported by Becker’s: 1. In a complaint filed Aug. 8 in Arizona, UnitedHealthcare alleged that Radiology Partners and its Arizona affiliate have been gaming the No…
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Becker’s has reported on two current and former physicians who are suing or have sued their former employers over retaliation or defamation since June 13, 2025. 1. A federal jury in the Eastern District of Pennsylvania found Drexel University and…
ASCs have long relied on paper documentation, even as hospitals moved to electronic health records. That gap is narrowing. According to the Ambulatory Surgery Center Association’s July 2025 survey, 76% of ASCs now use an EHR, up from 55% in…
On Dec. 15, CMS will launch a five-year prior authorization demonstration for certain ASC services in California, Florida, Texas, Arizona, Ohio, Tennessee, Pennsylvania, Maryland, Georgia and New York. According to a Sept. 3 CMS notice, the targeted procedure categories include:…
Two physicians, a laboratory CEO, and seven marketers have agreed to pay more than $6 million to settle allegations of a kickback scheme, the Justice Department said in a Sept. 8 news release. What happened?
A Hyattsville, Md., man has pleaded guilty to stealing physician identities to create fraudulent e-prescribing accounts, the Justice Department said in a Sept. 5 news release. What happened?