ASC Coding, Billing & Collections

Low reimbursements coupled with the overall decrease of physician revenue from employment models create a perfect storm for physician compensation. 

Though the popularity of value-based care is rising, fee-for service payment models remain the status quo in several areas of healthcare.

Adam Bruggeman, MD, of Texas Spine Care Center in San Antonio, shared insight about the government and private payer landscape related to physicians and ASCs at the 19th Annual Spine, Orthopedic & Pain Management-Driven ASC event.

Though the Anti-Kickback Statute is federal law, it plays out differently from state to state. 

The federal healthcare Anti-Kickback Statute targets bribery and corruption within healthcare, according to a June 13 post from JD Supra.

Here are five prior authorization updates Becker's has reported on since May 25:

More than 230 U.S. Representatives and 61 Senators have authored letters urging CMS and the Department of Health and Human Services to finalize a proposal that would require insurers to streamline the prior authorization process for federally sponsored health plans. 

Alta Vista Healthcare & Wellness Centre, a skilled nursing facility in Riverside, Calif., and its management company, Rockport Healthcare Services, agreed to pay the U.S. and California $3.825 million to resolve kickback allegations.

Eleven percent of physicians attribute financial losses to practice issues such as business problems, reimbursement changes and a change in practice setting, according to Medscape's "Physician Wealth & Debt Report 2023."

The Commonwealth Fund released the 2023 Scorecard State Health System Performance report, examining quality healthcare access and affordability by state.