ASC’s and physician practices have two Medicare payment rules moving through the comment process at once this fall, both with direct implications for how procedures get reimbursed starting Jan. 1. Here are the key dates to track: CMS released the proposed…
The Latest
Medicare improperly paid an estimated $15.2 million for sacroiliac joint injection sessions that did not meet Medicare requirements between Oct. 1, 2023, and Sept. 30, 2024, according to an Aug. 5 report from HHS’ Office of Inspector General. The OIG…
The American Society of Echocardiography published a new guideline Aug. 3 aimed at preventing the work-related musculoskeletal disorders that push cardiac sonographers out of the profession and threaten the workforce’s long-term stability. “Guidelines for the Prevention of Work-Related Musculoskeletal Disorders…
Stryker’s spine business keeps shrinking while its ASC business keeps growing. Here’s what that means. The company’s second-quarter 2026 earnings, reported July 30, provide a snapshot of two forces reshaping the company’s strategy moving forward: its exit from spinal implants…
San Francisco-based Hinge Health has signed a definitive agreement to acquire Cylinder Health, a virtual-first digestive healthcare company, for $105 million in cash, expanding the digital health company beyond musculoskeletal and migraine care into gastrointestinal services, according to an Aug.…
A Nevada physician has been indicted on charges of billing Medicare more than $95 million for medically unnecessary amniotic wound allografts, including procedures performed on elderly patients in hospice care, the Justice Department said in an Aug. 5 news release.…
Joining a health system through acquisition can bring real benefits to a physician practice, including operational support, better access to capital, stronger payer contracting leverage and long-term stability. However, these deals sit inside a complex, heavily regulated legal landscape and…
Stark law was created to prevent financial conflicts of interest in physician referrals, but many healthcare leaders say the decades-old regulation has become increasingly difficult to navigate as care delivery evolves. For physician organizations and ambulatory surgery centers, the law’s…
The Morgantown-based West Virginia University School of Nursing is increasing its Doctor of Nursing Practice Nurse Anesthetist program from 15 to 20 students in each cohort. The full-time program, which requires 88 credits for completion, allows graduates to sit for…
Payment integrity has long been constrained by audit capacity and review quality. When teams only audit what they’re staffed to handle and consistency varies widely across reviewers, it’s difficult to measure true hit rates or maintain quality at scale. AI…
Presented by:
- Shri Santhanam, Chief Product Officer, Machinify
- Emma Nasif, Chief Legal Officer, Machinify
- Vijay Bharadwaj, Chief AI Scientist, Machinify
