ASC Coding, Billing & Collections

Stark law, which prohibits physicians from making referrals for many Medicare-payable services to an entity if the physician or immediate family member has a financial relationship with it, has seen a year of changes and updates to policy exceptions and…

New York lawmakers on Dec. 12 sent a bill banning noncompete agreements to Gov. Kathy Hochul for her signature, lawfirm Ogletree, Deakins, Nash, Smoak & Stewart said in a Dec. 15 article in JDSupra. 

In its January proposal to ban noncompetes, the Federal Trade Commission calls the policy "a widespread and often exploitative practice that suppresses wages, hampers innovation and blocks entrepreneurs from starting new businesses."

Several major payers have faced criticism in 2023 for reimbursement and prior authorization changes within the gastroenterology space. 

Certificate-of-need laws, which govern where providers can build facilities, have been an obstacle to ASC growth for years, but many leaders are hopeful about the policy changes made in 2023. 

As operating costs continue to rise, low reimbursements weigh heavily on physicians.

Dolor Technologies has entered a settlement agreement to resolve false claims allegations relating to a device it sold to treat migraines. 

Two Little Rock, Ark.-based ASCs — Freeway Surgery Center and Centerview Surgery Center — have filed a complaint against Arkansas Blue Cross and Blue Shield of Little Rock, the state's largest health insurance company, over millions of dollars in unpaid…

The American Medical Association has identified the insurance industry giants with the largest shares of the commercial health insurance, Medicare Advantage and public health exchange markets in 2023. 

MedPAC is urging Congress to increase Medicare pay in its 2025 payment update recommendations drafted Dec. 8.