Here are five notable developments from Cigna over the last month: 1. The Cigna Group has named Eva Borden as chief product officer for its commercial insurance business. Ms. Borden, who joined Cigna in 1999, has held multiple leadership roles.…
ASC Coding, Billing & Collections
An OB-GYN in Reno, Nev., has been arrested for allegedly defrauding healthcare programs by submitting false claims for unnecessary gynecologic tests and surgeries, some of which caused serious medical complications, the Justice Department said in a Sept. 25 news release.…
A physician in Southfield, Mich., was sentenced to six years in prison for illegally distributing opioids, the Justice Department said in a Sept. 24 news release. What happened?
A Clovis, Calif., podiatrist and a sales representative pleaded guilty to conspiring to commit healthcare fraud, the Justice Department said Sept. 23. What happened?
A physician in Bensalem, Pa., was sentenced to 168 months and must pay $4 million for his role in an illegal opioid fraud scheme, the Justice Department said in a Sept. 23 news release. What happened?
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Hospitals are under pressure to do three things at once. Keep doors open for injured patients. Improve revenue capture despite rising denials. Reduce downstream bad debt and write-offs. Nowhere is that tension sharper than in personal-injury care, where payment timing…
Executives at major health systems and physician groups are pushing back against the CMS proposed 2026 Physician Fee Schedule and changes to the Medicare Shared Savings Program, warning the updates fail to keep pace with rising costs and could cut…
Only 19% of physicians receive additional pay for on-call duties, according to a recent blog post from salary transparency platform Marit Health. Here’s a breakdown of on-call pay by specialty: Specialty Percentage with paid call Average call pay per call…
ASCs are facing a slew of challenges this fall as administrators finalize budgets and prepare for the final quarter of the year — among them, new state taxes, payer uncertainty, anesthesia shortages, inflation and growth pressures. 1. New Jersey’s uncapped…
As financial pressures mount, healthcare employers are taking aggressive steps to rein in expenses, according to Medscape’s “Cost Oversight at Medical Providers” report published Sept 16. Medscape surveyed 1,007 physicians across 29 specialties to gauge how cost-cutting efforts are shaping…