The American Society of Anesthesiologists, American College of Emergency Physicians and American College of Radiology oppose the Lower Premiums, Faster Payments Act, according to an AASA news release shared with Becker’s Oct. 9. The bill would eliminate the No Surprises…
ASC Coding, Billing & Collections
Technical skill is the most common contributing factor in malpractice claims against general surgeons. Claims tied to communication, however, carry the highest average payment, at about $400,000. Napa, Calif.-based The Doctors Company analyzed 1,138 general surgery claims from 2010 to…
In a lawsuit filed July 22, Philadelphia-based Jefferson Health suing Independence Blue Cross, alleging that an IBX site-of-care policy pushing some elective procedures out of hospital outpatient departments and into ASCs has cost the system $35.4 million. The policy is…
On Oct. 6, federal regulators finalized updates to the Transparency in Coverage rule, which governs the pricing data health insurers and employer health plans must publish. While the rule places no new requirements on ASCs, the changes could affect how…
A podiatrist formerly based in New York has been sentenced to 32 months in prison for his role in a scheme that defrauded Amtrak’s health care plan, as well as for unlawfully distributing opioids and illegally possessing a firearm, according…
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Nearly three decades after researchers first documented that surgeons are paid more for male-specific procedures than comparable female-specific ones, the gap has barely narrowed, and experts say it is now shaping how hospitals allocate operating room time, Vox reported Oct.…
Federal prosecutors have secured guilty pleas or prison sentences in at least six durable medical equipment fraud cases tied to more than $1.5 billion in claims since late May, and CMS has barred 11 DME suppliers from Medicare Advantage payments.…
Plano, Texas-based Heal 360 Urgent Care, Heal 360 Primary Care and their owner, Mohammed Amer Mohiuddin, MD, have agreed to pay $20 million to resolve allegations that they billed a federal COVID-19 program for office visits that never happened, according…
Block utilization at 2-OR ASCs fell to 59% in 2025 from 71% in 2024, while centers with 10 to 14 ORs rose to 59% from 50%, according to HST Pathways’ 2026 State of the ASC Industry Report. The report draws…
Pain management ASCs had a 54% net collection rate in 2025, well below the 87% average across specialties, according to HST Pathways’ 2026 State of the ASC Industry Report. The report draws on data from 682 surgery centers in 45…