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Author: Francesca Mathewes

Site-neutral payments are a policy proposal that many ASC and physician groups have long supported in an effort to even out payments between ASCs and HOPDs. ASCs historically receive lower reimbursements for the same procedures performed in HOPDs, despite no…

A Florida surgeon's license has been suspended after he dissected the wrong organ during what was supposed to be a splenectomy Aug. 21, resulting in the patient's death, the Miami Herald reported Sept. 26. 

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As new quality indicators surrounding colonoscopies are introduced, the onus to meet the new guidelines will fall on individual gastroenterologists. 

On Sept. 24, CMS issued a final ruling to address "significant, anomalous and highly suspect" billing activity on the Medicare Shared Savings program to mitigate financial impacts for Accountable Care Organizations. 

While private payers often reimburse at higher rates than Medicare, physicians and their employers still want better relationships with them, according to Medscape's 2024 "Physician-Private Payer Relationship Report."

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