Implant prices for total shoulder replacement surgery have plummeted more than 40% since 2010, but patients and surgeons have seen almost none of that savings, with hospitals capturing the benefit while physician reimbursements fell nearly as fast as the implant…
Patsy Newitt
Two CMS policy changes — a 2.5% efficiency adjustment to work RVUs for non-time-based services and a revision to the practice expense methodology — will cut payments to gastroenterologists for ASC and hospital-based endoscopy by $58 million, while boosting payments…
A California physician has been convicted by a federal jury for submitting $45 million in fraudulent Medicare claims for Botox injections that were never provided and obstructing the investigation by altering medical records, the Justice Department said in a May…
GI Partners of Illinois, the largest independent physician-led gastroenterology group in the state, has announced a strategic partnership with Nexus Healthcare Management to launch an AI-driven chronic care platform across its network, according to a May 19 news release shared…
An Illinois physician who was previously named in a federal civil complaint has agreed to pay $62,500 to resolve False Claims Act allegations of signing orders for medically unnecessary orthotic braces for Medicare beneficiaries, the Justice Department said in a…
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The Louisiana State Legislature has passed a bill ensuring certified registered nurse anesthetists are reimbursed by insurers for anesthesia services they are licensed to provide, sending the measure to Gov. Jeff Landry for his signature. The legislation, SB275, comes in…
Two Massachusetts clinics and their physician founder have agreed to pay $1.4 million to resolve False Claims Act allegations of fraudulently billing government health insurance programs for services never performed, the Justice Department said in a May 19 news release.…
When something goes wrong in an ASC, the instinct is often to find fault fast. But the leaders building the strongest safety cultures are doing the opposite — slowing down, looking at systems first and creating the kind of psychological…
Expansion of ambulatory care is central to St. Louis-based Ascension’s growth strategy, particularly through the planned acquisition of AmSurg, according to financial documents published May 15. The health system is poised to become one of the largest ASC operators in…
Colonoscopies are booming, but the economics are getting complicated. As colorectal cancer rates climb and updated screening guidelines add millions of newly eligible patients, ASCs are racing to meet demand. But reimbursements are falling even as procedure volumes rise, forcing…