A Martinsville, Va.-based physician, who was found guilty of more than 450 counts of multiple drug charges in December, was sentenced to 40 years in prison, the Justice Department said in a Sept. 3 news release. What happened?
ASC Coding, Billing & Collections
An Oakton, Va.-based physician sentenced to 13 years in prison for illegally prescribing opioids and amphetamines has been ordered to forfeit a $168,000 money judgment, two real properties, and to pay $169,244 in restitution to three victims, the Justice Department…
UnitedHealthcare is suing Radiology Partners and its Arizona affiliate, alleging the companies have been gaming the No Surprises Act’s independent dispute resolution process and “funneling millions into the pockets of its private equity owners.” In a complaint filed Aug. 8…
A former Battle Creek, Mich., physician agreed to pay $705,075 to settle controlled substance allegations, the Justice Department announced Aug. 28. What happened?
ASCs continue to play a growing role in outpatient care delivery, but as the sector expands, so do legal and compliance risks. A recent wave of ASC lawsuits highlights three recurring themes: False claims and billing practices Billing compliance lawsuits…
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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…
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…