Shifting reimbursement for physician-administered drugs from hospital outpatient rates to physician-office rates could save employers and workers about $12.7 billion a year, according to new research from the Washington, D.C.-based Employee Benefit Research Institute, which found HOPDs were paid an…
ASC Coding, Billing & Collections
Houston-based federal prosecutors have filed a False Claims Act lawsuit against a Texas physician accused of billing Medicare nearly $500,000 for surgical neurostimulator electrode implantations he allegedly never performed. Michael Neret, MD, owns and manages Neret MD Medical Clinic and…
Patients rate billing just 1.75 out of 5 nationally, even as overall care scores top 3.79 in every state analyzed, according to Tellex Data Brief 002, released in September 2026. Tellex analyzed 40 million patient accounts drawn from public reviews,…
A federal jury in Fort Worth convicted Texas licensed professional counselor Kevin Curry in a $26 million healthcare fraud, kickbacks and money laundering scheme. Mr. Curry owned and operated Acuity TMS of Plano and Acuity TMS of Fort Worth in…
The number of nurse practitioners in the U.S. grew 205% from 2012 to 2025, while the physician workforce grew 31%, according to an Ataraxis analysis of Bureau of Labor Statistics data. Ataraxis provides virtual administrative staff to medical practices. The…
Advertisement
Federal enforcers have resolved at least four fraud cases tied to ASCs so far in 2026, totaling about $11.3 million, according to announcements from the Justice Department and HHS’ Office of Inspector General. The cases involve Stark law and Anti-Kickback…
The contracted rate isn’t the whole story. Two ASC administrators said payer talks this year came down to fine print, implant costs and case-level cost data. Editor’s note: Responses have been lightly edited for clarity and length. Question: What’s changed…
Two ASC administrators said this year’s biggest cost pressures are facility compliance, anesthesia coverage, and supplies and technology. Editor’s note: Responses have been lightly edited for clarity and length. Question: What’s the single biggest driver of rising costs at your…
A Las Vegas physician has pleaded guilty to Medicaid fraud and identity theft charges tied to a scheme in which she billed Medicaid and Medicare for services she could not have performed because she was traveling abroad, 8 News Now…
Eleven physician specialties report a median continuing medical education allowance of $5,000 a year, according to a Sept. 24 analysis from clinician salary and job listing platform Marit. The analysis draws on salary submissions from 22,647 physicians and 8,405 advanced…