Private equity firms acquired at least 21 outpatient medical practices in January, spanning specialties including primary care, cardiology, radiology, pediatrics, eye care, dermatology, pain management and ENT, according to the Private Equity Stakeholder Project, which tracks PE-backed healthcare acquisitions. The…
The Latest
Private equity firms have invested more than $750 billion in the U.S. healthcare market, according to a literature review published in Anesthesiology Feb. 13, including significant investments in anesthesiology and pain medicine. The review, conducted by researchers at several U.S.…
In a recent advisory opinion, the Office of Inspector General ruled a specific urgent care management service organization’s plan to run an affiliated clinical lab would not create prohibited “remuneration” under the federal Anti-Kickback Statute, according to a Feb. 26…
Reimbursement for outpatient cardiology procedures has been a key issue for advocacy groups such as the Ambulatory Surgery Center Association and the American College of Cardiology for years as procedures continue migrating to ASCs. When CMS finalized its Hospital Outpatient…
Ninety-five percent. Ninety-seven percent. Ninety-eight percent. Accuracy rates look strong on paper. But are they enough? In today’s environment, payers are using advanced analytics to flag documentation inconsistencies at scale. Clinical validation denials are rising. Audit scrutiny is intensifying. At…
Mar 31, 2026 11:00 AM - 12:00 PM America/Chicago
Presented by:
Presenters
Laura Legg, RHIA, RHIT, CCS, CDIP
Vice President of Coding, Coronis Health
Colonoscopy billing can be very complex, hinging on distinctions between screening and diagnostic intent. A single ICD-10 code, CPT selection or missing modifier can shift a procedure from fully covered preventive care to a medically necessary diagnostic service. Here are…
For years, artificial intelligence in gastroenterology has been synonymous with polyp detection, but some leaders say that framing misses the bigger transformation underway. The next wave of disruption will instead be from predictive analytics, chronic disease management and AI-driven clinical…
Premier Eye Care of Eastern Idaho is opening a new practice in Pocatello, Idaho, according to a Feb. 26 report from Idaho State Journal. The new location will provide ophthalmology services including cataract, retina, glaucoma and eyelid surgery. The practice…
Saginaw, Mich.-based Covenant HealthCare will break ground April 8 on a $25 million orthopedic facility to expand musculoskeletal care in the region. The 25,700-square-foot center will consolidate outpatient orthopedic services at Covenant’s Mackinaw campus, with 44 exam rooms, four X-ray…
The Sayre, Pa.-based Guthrie Clinic has opened an outpatient orthopedic and spine surgery center in Johnson City, N.Y., expanding access to advanced musculoskeletal care in the area. The Guthrie Broome Orthopedic and Spine Surgery Center is the region’s first facility…