PhyxUp Health launched PhyxUp Billing, an AI-powered tool designed to automate revenue cycle workflows for remote therapeutic monitoring. The platform supports six RTM CPT codes and automatically populates more than 30 claim fields. Its billing “engine” runs more than 40…
ASC Coding, Billing & Collections
A Georgian national was indicted by a federal grand jury in Boston on one count of money laundering conspiracy tied to a $1.3 billion healthcare fraud scheme, according to a Sept. 4 Justice Department news release. Erekle Gugava allegedly fled…
American Vision Partners has agreed to a $1.75 million settlement over a data breach, according to court filings pending in the U.S. District Court for the District of Arizona. Per the court-authorized settlement notice, approximately 258,070 individuals whose Social Security…
Long Beach, Calif.-based Golden State Orthopedics & Spine provided notice of a data security incident. On July 2, Golden State Orthopedics & Spine detected unusual activity within its network and engaged third-party forensic experts to investigate, according to an Aug.…
Physician-staffed primary care networks, an independent multispecialty group and a physician-owned surgery center have all sought banktupcy protection this year, alongside hospitals whose financial collapse directly threatens physician jobs and referral networks. Clinics and physician practices accounted for almost 30%…
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A Brookings Institution analysis published Sept. 3 mapping vertical integration among the five largest U.S. health insurers found UnitedHealth Group’s Optum Health division generated $100.5 billion in 2025 revenue, 63% of it paid by UnitedHealth’s own health plans. That structure…
The Louisiana Supreme Court heard oral arguments Sept. 1 on whether to reinstate a $421 million fraud verdict against Blue Cross Blue Shield of Louisiana, Fox8 reported, reviving a yearslong legal fight over the Baton Rouge, La.-based insurer’s payments for…
A Wake County family nurse practitioner is challenging a North Carolina law that requires her to contract with a physician before she can practice in the state. Jamie Gallagher filed suit Sept. 2 against leaders of the state medical and…
Louisville, Ky.-based Heuser Health has agreed to pay $2.6 million to resolve allegations that it violated the False Claims Act by overbilling Medicare and Tricare for skin substitute products, the U.S. Attorney’s Office for the Western District of Kentucky said…
New federal data shows the independent dispute resolution process created under the No Surprises Act is being used more than ever. Total federal IDR disputes rose from 653,445 in Q3 of 2025 to 719,118 in Q4 of 2025 — a…