CMS’ 2027 payment rule for ASCs, proposed July 2, projects a 2.4% effective update overall — the same headline figure hospital outpatient departments are set to receive. But that number masks sharply different outcomes depending on procedure type, according to…
ASC Coding, Billing & Collections
A new analysis from Marit Health breaks down physician compensation by specialty and training length, analyzing the number of years spent in residency compared with the eventual paycheck. Here are five things to know: 1. The average medical school graduate…
Payer consolidation has accelerated to a pace that most ASC administrators did not build into their contracting assumptions. Cigna sold its Medicare Advantage business to Health Care Service Corp. in 2025. Smaller Blues plans are affiliating with larger ones. Health…
A Memphis gynecologic oncologist has been sentenced to 20 years in prison for using dirty, reused medical devices on more than 15,000 women during hysteroscopy procedures and billing Medicare and Medicaid more than $41 million for the unsafe care, the…
ASC leaders warn a proposed CMS rule aimed at rooting out Medicare fraud could have an unintended consequence, leading them to lose enrollment because of where they operate. Tucked inside the CY 2027 Home Health Prospective Payment System proposed rule,…
Advertisement
For eight years, ASCs have received Medicare payment updates tied to the hospital market basket, which is a healthcare-specific inflation index designed to more accurately reflect the cost of running a surgery center than the general consumer price index it…
CMS wants to send even more surgical volume ASCs’ way — and some leaders think their case lists are about to grow relatively quickly. The agency proposed a rule July 2 that would revise Medicare payment rates for HOPDs and…
Five physician specialties saw compensation decline, with hepatology down almost 9.7% year-over-year, according to 2026 MGMA compensation benchmarks analyzed by salary transparency platform Marit Health. Here are the five specialties:
The Justice Department announced its 2026 National Health Care Fraud Takedown on June 23, charging 455 defendants, including 90 physicians and other licensed medical professionals, in schemes involving more than $6.5 billion in false claims. Spanning 56 federal districts and…
Psychiatry saw the highest pay increase from 2025 to 2026 at 8.7%, according to 2026 MGMA compensation benchmarks analyzed by salary transparency platform Marit Health. Infectious Disease and rheumatology, both historically lower-compensated internal medicine subspecialties, also saw significant jumps. Here…