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ASC Coding, Billing & Collections

A Texas physician was convicted by a federal jury for his involvement in the submission of more than $70 million in fraudulent claims to Medicare for unnecessary orthopedic braces and tests.

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The ASC sector has seen continued increases in CMS payment rates as procedures continue to shift to the outpatient setting, according to VMG Health's 2024 Healthcare M&A Report published May 7.

Prior authorizations stand as both a gatekeeper and a stumbling block for the ASC industry. These pre-approvals required by payers serve as a crucial step in ensuring the medical necessity of procedures while functioning as a cost-control mechanism. However, the…

Here is how the cost of four common ASC procedures has changed from 2019 to 2024, using data from  Blue Cross Blue Shield affiliate Blue Health Intelligence's "Rising Prices for Hospital Outpatient Care" brief, published last year and Sidecar Health's…

The Federal Trade Commission voted to ban noncompete clauses for most U.S. workers April 23. The rule would make it illegal to include noncompetes in employment contracts unless the employer is a nonprofit, as the FTC's jurisdiction does not generally…

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