Jonathan Morris, MD, a physician and practice owner in Columbia, Mo., was indicted April 8 on 23 counts of healthcare fraud and 15 counts of illegally prescribing controlled substances. From at least May 1, 2019, through April 8, 2025, Dr.…
ASC Coding, Billing & Collections
A Florida ophthalmology practice and its former owner have agreed to pay $415,000 to resolve False Claims Act allegations related to fraudulent billing for brain blood flow diagnostic tests, the Justice Department said in an April 22 news release. Between…
Two St. Louis-area physicians and a chiropractor have been sentenced for their roles in a $4.7 million healthcare fraud and opioid prescription scheme involving Medicare, Medicaid and Tricare, the Justice Department said in an April 15 news release. Jerry Leech,…
Allstate filed a federal lawsuit on April 17 alleging Brentwood, Tenn.-based Surgery Partners, and nine of its Florida subsidiaries conducted a coordinated scheme to defraud the payer of millions of dollars through false medical billing, according to court documents reviewed…
ASC leaders across the country say their peers are forfeiting significant revenue and negotiating leverage by failing to adapt to a payer landscape that is growing more complex, more competitive and, in some cases, more predatory. Here are four specific…
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Robert Tassin, MD, a physician in Slidell, La., was sentenced April 9 to probation for a scheme to bill Medicare for medically unnecessary tests. From February to September 2019, Dr. Tassin worked with telemedicine companies, signing orders for cancer genetics…
A podiatrist and sales representative were each sentenced to 63 months in prison for conspiracy to commit healthcare fraud, according to an April 13 news release from the Justice Department. Felipe Ruiz, DPM, was the sole owner of a multilocation…
Dallas-based United Surgical Partners International’s strategy over the past decade is a deliberate transformation with Tenet selling off its hospital portfolio and reinvesting the proceeds into USPI as its core growth engine. Here’s a breakdown of USPI’s last 10 years:…
ASCs have spent decades perfecting high-volume, low-acuity procedures. But as reimbursement models shift, technology advances and patients increasingly prefer outpatient settings, industry leaders say ASCs are failing to capitalize on a significant and growing opportunity in higher-acuity care. ASCs that…
Many physicians believe the work relative value units, or wRVU, model was built for a different era — one that didn’t account for burnout, cognitive work, care coordination or the slow erosion of clinical judgment that comes from optimizing for…