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ASC Coding, Billing & Collections

Recent prior authorization reforms by CMS are a significant step in the right direction but are not an all-encompassing solution, according to the American Medical Association.

The Delaware Supreme Court ruled that financial services company Cantor Fitzgerald properly denied $9 million to former partners under noncompete agreements, Bloomberg Law reported Jan. 29. 

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The Federal Trade Commission has been largely silent on its proposed ban on noncompete contracts for full-time employees and independent contractors introduced January 2023, according to an article by law firm BakerHostetler published in JDSupra.

Indianapolis-based Community Health Network recently agreed to pay $345 million to resolve claims it violated the False Claims Act and Stark law, indicating the importance for providers to pay close attention to physician compensation arrangements, law firm Baker Donelson wrote…

Many physicians have experienced challenges stemming from Stark law, which bans them from making referrals for Medicare-payable health services if the physician or immediate family member has a financial relationship with the entity. 

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