Four Maryland residents have been sentenced for conspiring with an Annandale, Va.-based physician convicted of distributing more than 7,000 oxycodone pills and thousands of milliliters of codeine and hydrocodone cough syrups, according to an Oct. 2 news release from the…
ASC Coding, Billing & Collections
Patient decisions accounted for 34.1% of ASC case cancellations with a recorded reason in 2025, according to HST Pathways’ 2026 State of the ASC Industry Report. The report draws on data from 682 surgery centers in 45 states. Cancellation reasons…
Bellevue, Wash.-based Puget Sound Physicians will pay more than $410,000 in refunds and interest to low-income patients under an agreement with Washington Attorney General Nick Brown’s office, the Washington State Standard reported Oct. 1. The privately held physician practice provides…
ASCs collected 67% of expected patient deposits in 2025, leaving about $125.4 million uncollected, according to HST Pathways’ 2026 State of the ASC Industry Report. The report draws on data from 682 ASCs in 45 states, covering nearly 4.8 million…
Philadelphia-based Penn Medicine, Independence Blue Cross and Franklin, Tenn.-based Regent Surgical are building an ASC company with a structure Regent CEO Travis Messina said the industry has not seen before: a health system, a health plan and a management company,…
Advertisement
Providers that find potential Anti-Kickback Statute violations, false claims or excluded individuals on staff can report the conduct to HHS’ Office of Inspector General through its Health Care Fraud Self-Disclosure Protocol. A Sept. 25 client brief from Anthony Mahajan, founding…
At least 30 physician practices and ASCs closed or announced closures in the first half of 2026, and Becker’s reported 23 physician practice closures in all of 2025. More practices are also going bankrupt. Clinics and physician practices made up…
Independence Blue Cross has agreed to pay $22.5 million to resolve allegations that it used inaccurate diagnosis codes to inflate its Medicare Advantage payments, according to a Sept. 30 Justice Department news release. The government alleged the insurer violated the…
At least 17 physician practices, medical groups and physician staffing firms have filed for bankruptcy since January 2024. Physician practices and clinics made up almost 30% of healthcare bankruptcy filings in the first half of 2026, which puts the sector…
Elevance Health is taking aim at one of health systems’ most profitable billing practices. The insurer plans to require hospitals to list where care was physically delivered on claims, and it will pay off-campus services at off-campus rates rather than…