From an insurer that allegedly reimbursed an ASC $190,600 less than the cost of a spine surgery to another that accused three ASCs of filing more than $5.7 million in fraudulent claims, here are three high-profile lawsuits involving surgery centers…
Alan Condon
An Oct. 14 Congressional letter to House Speaker Nancy Pelosi, D-Calif., and House Minority Leader Kevin McCarthy, R-Calif., urged them to take action against CMS' physician payment cuts in 2021.
Blue Cross Blue Shield of Minnesota on Oct. 1 ended its coverage for pain treatment at the Center for Pain Management and reported the clinic to the Federal Bureau of Investigation, the Echo Press reports.
Dallas-based Tenet Healthcare continues to ramp up its surgery center business after its subsidiary United Surgical Partners International announced an agreement to acquire a stake in nine ASCs in North Carolina, Texas and Florida.
Maywood, Ill.-based Loyola Medicine has proposed a surgery center in Tinley Park, Ill., that would cost more than $69 million, the Chicago Tribune reported Oct. 12.
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Physicians in Iowa have asked the state to grant a certificate of need to build a $17.9 million freestanding surgery center that they say would keep orthopedic costs competitive in North Liberty, Iowa, The Gazette reported Oct. 13.
Insurers and patients continue to put pressure on hospitals and health systems to shift certain procedures and services away from hospital outpatient departments to ASCs, where cost savings can be significant.
The American Society of Anesthesiologists has urged the Justice Department to look into the behavior of UnitedHealth Group, which the society claims is stifling competition by ending participating provider agreements with anesthesia practices across the country.
Two surgery centers under the same ownership in Lincoln, Neb., are consolidating to one site on the Lincoln Surgical Hospital campus, the Lincoln Journal Star reports.
Dallas-based United Surgical Partners International has entered into a definitive agreement to acquire Compass Surgical Partners' ownership and management interests in nine ASCs.