Johnson City, Tenn.-based State of Franklin Healthcare Associates has joined Farm Bureau Health Plans' Medicare Advantage network, in a move that comes as several major health systems are shying away from Medicare Advantage partnerships.
ASC Coding, Billing & Collections
ASCs have long faced obstacles to reimbursements, and some leaders are finding increasing obstacles to securing necessary pay for procedures.
The chief compliance officer of a pharmacy holding company was sentenced to four years and six months in prison and must pay $21.7 million in restitution for his role in a healthcare fraud scheme.
An often-overlooked part of running a practice is how to handle billing and collections. Having a partnership with a collections agency is something practices should consider, according to a Nov. 6 post by Anesthesia Business Consultants on its website.
Two pharmacy owners and a physician have been convicted for their role in a healthcare fraud, money laundering and tax evasion scheme.
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Here are five numbers about certificate-of-need laws that ASC leaders should know:
U.S. Senators Bill Cassidy, MD, Catherine Cortez Mastro, Elizabeth Warren and Marsha Blackburn have introduced bipartisan legislation to improve the transparency of Medicare Advantage plans.
The Federal Trade Commission proposed a rule in January that would keep employees free from noncompete agreements nationwide.
Insurance giant UnitedHealth Group is facing a lawsuit alleging it used an artificial intelligence algorithm to wrongfully deny coverage to older patients for care under its Medicare Advantage health policies, Bloomberg Law reported Nov. 14.
A 2023 report from insurer Humana shows that Medicare Advantage patients receiving care through value-based arrangements spend more time with their physicians and have better care outcomes than their non-value-based counterparts.