A Bowie, Md., nurse has pleaded guilty to conspiracy to commit healthcare fraud for her role in a $14 million scheme that billed D.C. Medicaid for mental health services that were never provided or were grossly inflated. Vera Nyiawung pleaded…
Patsy Newitt
The American Society of Anesthesiologists has submitted formal comments to CMS opposing key provisions of its proposed 2027 Medicare Physician Fee Schedule rule, including a 50% payment cut for services reported with Modifier 25. ASA’s Sept. 14 comment letter also…
Becker’s has reported on three physician practices since Sept. 9, spanning three states and two specialties, from orthopedics to cardiology. 1. Roseburg, Ore.-based Umpqua Orthopedics will close for patient care Sept. 15, ending more than two decades of orthopedic service…
Management services organizations and physician practice management platforms depend on the management fee paid by the clinical practice to the MSO, but an unvalidated or inflated fee is drawing intensifying federal and state fraud scrutiny, according to a Sept. 15…
Atlanta-based federal prosecutors have filed a False Claims Act complaint against two laboratory executives accused of orchestrating Medicare testing schemes that targeted faith-based communities and senior living facilities, according to a Sept. 17 news release from the Justice Department. Jay…
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CMS’ 2026 Medicare Physician Fee Schedule raised the conversion factor to $33.57 for qualifying participants, a 3.77% increase. Buried in the same rule is a 2.5% efficiency adjustment to the work RVU values on roughly 7,700 non-time-based CPT codes, covering…
Six physicians who built billion-dollar companies are seeing their personal fortunes climb, according to Forbes’ billionaire rankings. Thomas Frist Jr., MD — a former U.S. Air Force flight surgeon who co-founded HCA Healthcare with his father, Thomas Frist Sr., MD,…
Brentwood, Tenn.-based Surgery Partners has completed the sale of its ownership interests in its Idaho Falls, Idaho, facilities to Intermountain Health for $797 million in gross proceeds, according to a Sept. 17 news release. The deal includes Mountain View Hospital…
Ascension has closed its acquisition of Amsurg, an ASC development and management company, expanding the health system’s ambulatory platform to more than 312 ASCs across 36 states, according to a Sept. 16 news release covering fiscal year 2026 results. The…
San Tan Valley, Ariz.-based Rita Ntusa Anagho has been sentenced to 14 years in federal prison for orchestrating a $69 million Medicaid fraud scheme through her addiction treatment clinic, according to a Sept. 17 news release from the Department of…