ASC Coding, Billing & Collections

The reimbursement disparity between hospital outpatient departments and ASCs is frustrating leaders as costs soar. 

Here are three providers who have been charged or sentenced for their alleged roles in fraud schemes that Becker's has reported on since Dec. 5:

Sarasota (Fla.) Memorial Health Care System has finalized a new agreement with UnitedHealthcare allowing its urgent care, outpatient facilities and First Physicians Group healthcare providers to remain in-network with UHC's Medicare Advantage plan, according to a Dec. 29 report from…

New York Gov. Kathy Hochul has vetoed a bill that would have banned all noncompetes, The Wall Street Journal reported Dec. 23.

ASCs, physician groups and hospitals can provide non-monetary compensation to physicians up to an amount of $507 for the calendar year 2024, according to a Dec. 27 Lexology report. 

Cigna, which is the fourth largest insurer in the U.S. by membership size, is considering the sale of its Medicare Advantage business.

Springfield (Ill.) Clinic has reached a new agreement with Blue Cross Blue Shield of Illinois to bring members back in the network beginning Jan. 1, 2024.

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."