As consolidation pressures mount and insurer contracts squeeze independent practices, some physicians are finding an unlikely ally in employer-built health plans. Carl Schuessler, co-founder and managing principal of Mitigate Partners, joined Becker’s to discuss how these plans could be a…
ASC Coding, Billing & Collections
Seventy-six percent of ASCs now use an EHR system, according to the Ambulatory Surgery Center Association’s July 2025 60-Second Survey. That figure is up from 64% in 2023 and 55% in 2021, marking a 36% increase in four years. The…
1. A federal judge approved a $2.8 billion settlement resolving antitrust claims brought by healthcare providers against the Blue Cross Blue Shield Association and its independent entities, ending more than a decade of litigation. The settlement was approved Aug. 19…
HMO and health plan employers offer the highest average sign-on bonuses, according to an Aug. 26 blog post from salary transparency website Marit Health. Here’s the average sign-on bonus by employer type: HMO or health plan: $60,000 State-run community hospital:…
A Louisville, Ky., physician agreed to pay $250,000 to resolve allegations that he and his practice submitted false claims to Medicare, Medicaid and TriCare by improperly billing services performed by nurse practitioners, according to an Aug. 28 Justice Department news…
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Walnut Creek, Calif.-based American Psychiatric Centers agreed to pay $2.75 million to settle allegations it submitted false psychotherapy claims to government payers, the Justice Department said in an Aug. 20 news release. What happened?
A Lake Forest, Ill., physician was sentenced to 34 months in prison for fraud, hiding assets and lying to the IRS about his ability to pay $1.6 million in taxes, penalties and interest, the Justice Department said in an Aug.…
There were a total of 50,555 malpractice and disciplinary action reports in 2024, with 39,167 adverse action reports and remaining 11,388 medical malpractice payment reports according to an analysis from Claggett, Sykes & Garza Trial Lawyers. Here’s a breakdown of…
While malpractice filings have declined nearly 20% in 10 years, the severity of claims is rising, according to a new analysis from Claggett, Sykes & Garza Trial Lawyers. In 2024 alone, payouts reached $4.93 billion, averaging $433,000 per case. Here…
Prospect Medical, parent company of Upland, Pa.-based Crozer Health, is suing HHS, CMS and others alleging they violated an automatic stay order after the company’s bankruptcy was filed in January, Philadelphia Business Journal reported Aug. 13. What happened?