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Patsy Newitt

A recent 11th Circuit Court of Appeals ruling clarified how federal prosecutors are able to charge physicians and executives for false statements in healthcare fraud cases, according to a blog post from law firm Armstrong Bradylyons.  The case involved an…

HST Pathways, a cloud-based software provider for ASCs, has secured a strategic growth investment from Novo Holdings, joining existing investors Bain Capital and Nexxus Holdings, according to a June 5 news release. The investment will support the acceleration of HST’s…

With no certificate-of-need law, a fast-growing population and a regulatory environment that has historically favored outpatient development, Texas is one of the most active ASC markets in the country Here is where things stand. 1. Texas is a free-market ASC…

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A former chiropractic clinic chain executive has pleaded guilty to filing a false tax return related to an illegal tax shelter used to conceal nearly $1.3 million in taxes, the Justice Department said in a June 5 news release. Stuart…

The federal government’s proposed expansion of a major joint replacement payment model could open the door for certified registered nurse anesthetists to qualify for better Medicare reimbursement. Under the proposed FY 2027 Inpatient Prospective Payment System rule, CMS would expand…

Eight months after UnitedHealthcare cut certified registered nurse anesthetist reimbursement by 15%, the financial burden unleashed on ASCs is still building.  The UHC cut applies to QZ-billed CRNA services in selected states and eliminates payments tied to several add-on and…

A proposal that would strip Medicare coverage from widely used peripheral nerve block procedures is still active nearly eight months after five Medicare Administrative Contractors published draft local coverage determinations in October.  The proposed LCDs would classify therapeutic peripheral nerve…

Although staffing shortages and reimbursement pressure get a lot of attention in ASC conversations, Tom Valentine, the new president of Wellbridge Surgical, thinks the harder problem is physician recruitment in a rapidly consolidating workforce.  According to Mr. Valentine, hospitals have…

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