ASC Coding, Billing & Collections

ASC leaders have been increasingly vocal about the miscalculation of treating the center as one enterprisewide profit-and-loss statement instead of a collection of distinct businesses, each with its own economics.  As reimbursement tightens and cost structures shift, some of the…

Eight in 10 ENT physicians say a proposed CMS payment cut could reduce seniors’ access to care, with more than two-thirds saying they would need to see fewer Medicare patients and 14% saying they would stop accepting Medicare entirely, according…

Physicians employed by health insurance companies report significantly more pressure to keep patients within their network than those working for hospitals or private equity-owned practices, according to a new survey from the Physicians Advocacy Institute. The 2026 PAI Employed Physician…

Millennial physician pay rose to $364,000 on average in 2025, up from $354,000 the prior year, driven largely by gains among specialists, whose average compensation climbed from $380,000 to $392,000, while primary care physician pay held flat at $279,000, according…

A Chicago-based podiatry practice and its owner have been named in a joint federal and state civil complaint alleging they submitted more than $5.2 million in fraudulent claims to Medicare and Medicaid by billing under other physicians’ names after the…

As more procedures migrate to ASCs, hospitals are still paying salaries to keep surgeons on staff, according to Kaufman Hall’s Q2 2026 Physician Flash Report, which analyzed data from more than 200,000 employed physicians and advanced practice providers across 100-plus…

Insurers are heading into 2027 under political and regulatory pressure that has been building steadily over the last year, with lawmakers enhancing their scrutiny of vertical integration and prior authorization denials.  That same reckoning is bleeding into the ASC industry,…

Joe Peluso, administrator at Greensburg, Pa.-based Aestique Surgery Center, joined Becker’s to discuss how ASC leaders are quick to calculate the cost of a shortfall but rarely price out the cost of standing still, and in today’s market, he says,…

Two New York state ophthalmology practices — Mark Fromer, doing business as Fromer Eye Centers, and Floral Park Ophthalmology — have agreed to pay a combined $2.3 million to resolve False Claims Act allegations tied to billing for transcranial doppler…

Federal rules have required health plans to publicly post their prior authorization requirements and outcomes since CMS finalized its Interoperability and Prior Authorization rule in 2024.  But a review by the American Medical Association found that many plans were meeting…