Three Florida men have been sentenced to prison for their roles in a scheme to submit nearly $7 million in fraudulent Medicare claims for medically unnecessary orthotic braces and launder more than $2.2 million in fraud proceeds, the Justice Department…
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Most health systems have spent the past several years expanding behavioral health access. The result has too often been the same: patients referred without clear pathways and wait lists that are many days long. Meanwhile, the financial and operational pressure…
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CMS’ recent expansion of covered cardiology procedures in ASCs is spurring the development of new outpatient sites, promising a continued shift of procedures out of the hospital setting. Cardiology’s growth in the outpatient space will likely also impact patient experience…
Here are 15 recent leadership appointments and awards across four ASC specialties, as reported by Becker‘s: Anesthesia Cardiology Gastroenterology Ophthalmology
Hospital and health system CFOs are making some of the toughest financial calls in a generation, and the margin for error has never been thinner. With reimbursement pressures mounting and policy shifts reshaping payer mix, finance leaders can no longer…
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Presented by:
- Sham Firdausi, MBA, MSc, PMP, CHFP, ACHE
- Noel Sousa
- Jack O'Hara
- Joe Caristi
Picture a CDI team that no longer spends most of its week reworking denied claims. Encounters are flagged for documentation risk while the patient is still being treated. Coders work cleaner cases. Finance can predict cash, not chase it. That…
Presented by:
- Eric Evenson, MBA, MHA, FACHE
- Thea Campbell, MBA, RHIA, FAHIMA
ASC leaders say some of the industry’s most hyped trends, from high-acuity case migration and robotic technology to premium implant systems, are being adopted faster than many centers can operationally or financially support. Instead, executives told Becker’s the long-term success…
The U.S. pain management market is projected to grow from $44.5 billion in 2024 to $53.6 billion in 2030 at a compound annual growth rate of 3.1%, according to data cited by PE Hub in a May 22 report. The…
James Aquavella, MD, a pioneering ophthalmic surgeon and longtime faculty member at University of Rochester (N.Y.) Medicine, died May 14 at age 94. Dr. Aquavella retired in 2024 after a nearly 70-year career in ophthalmology, according to a University of…
Allstate has filed three federal lawsuits against ASCs and their affiliated providers since mid-April, alleging schemes ranging from kickback arrangements and corporate practice violations to billing for procedures that were never performed. 1. Allstate sued Florida Orthopedics and Neurosurgery, which…
