Outpatient visits fell 7.5% in May 2026, matching a seasonal dip seen in May and June of 2024 and 2025, according to Chicago-based Strata Decision Technology’s latest Performance Trends Report. The report looks at hospital financial, operational and encounter data…
ASC Coding, Billing & Collections
Private-payer rates behind CMS’ preliminary 2027 Clinical Laboratory Fee Schedule average about 16% below 2026 Medicare rates. Physician office labs supplied the largest share of the data behind them. CMS estimates the reset could save about $1 billion a year.…
A federal jury in the Western District of Michigan has convicted Rockford, Mich.-based physician Jonathan Decker, MD, of distributing more than 2 million Adderall and other stimulant pills through the Done ADHD telehealth platform, according to an Oct. 2 news…
The federal government’s newest price transparency rule is written for payers, but its effects could reach ASCs well before the first revised rate files post in 2027. CMS and the Labor and Treasury departments finalized an overhaul of the transparency…
Management services organizations take on non-clinical work for physician practices, including billing, revenue cycle, scheduling, compliance, HR and facility management. In states with corporate practice of medicine laws, they are also how private equity firms and other lay investors put…
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A Houston physician has been indicted on charges that he and others billed the federal government about $30 million for office visits that were never provided, according to a Oct. 6 news release from the U.S. Attorney’s Office for the…
Physician practices depend on Stark law exceptions to keep routine financial relationships lawful, but the law imposes liability without regard to intent. That means an arrangement can fail on paper alone, according to an Oct. 4 blog post from Anthony…
ASCs completed insurance verification on 83% of cases in 2025, leaving 233,856 cases unverified, according to HST Pathways’ 2026 State of the ASC Industry Report. The report draws on data from 682 surgery centers in 45 states. Here are five…
A 34-year-old woman has pleaded guilty to healthcare fraud and aggravated identity theft for billing Medicaid for mental health therapy services that were never provided, according to the U.S. Attorney’s Office for the Southern District of Texas. Tekiyah McLeod served…
Jerry Jones III, MD, a former emergency room physician in Mequon, Wis., was sentenced to 27 months in prison for unlawful prescribing controlled substances. On June 29, 2026, Dr. Jones pleaded guilty to one count of conspiracy to distribute controlled…