ASC Coding, Billing & Collections

The Federal Trade Commission voted to ban noncompete clauses for most U.S. workers April 23, and organizations have begun to file lawsuits. 

Maryland Gov. Wes Moore has signed a law prohibiting noncompetes for healthcare professionals April 25, according to an article by labor law firm Littler published in JDSupra. 

Physician reimbursement amounts per Medicare patient decreased around 2.3% between 2005 and 2021 when accounting for inflation, according to a new study from the Harvey L. Neiman Health Policy Institute.

A physician from Sewell, N.J., was convicted for causing the submission of more than $5.4 million in fraudulent claims to Medicare.

Here are six recent moves by CMS that may benefit — or burden — ASCs, as reported by Becker's in 2024: 

ASCs are historically reimbursed at lower levels than hospital outpatient departments, despite being considered by many in healthcare to be a high-quality and low-cost site of care. 

The Federal Trade Commission has banned noncompete clauses for most U.S. workers, The Washington Post reported April 23. 

The Pennsylvania House has passed legislation that would ban noncompete clauses for  physicians, certified registered nurse practitioners and physician assistants.

The Federal Trade Commission will hold an open meeting to vote on its proposed noncompete ban April 23.

The manual prior authorization process stands as a notorious drain on both time and money. For ASCs, this aspect of the revenue cycle curtails efficiency but also strains staff resources, jeopardizing cash flow and overall financial success.