Brentwood, Tenn.-based SpecialtyCare and two affiliated physician groups sued two Anthem health plans, alleging the insurers failed to pay about $2.5 million in No Surprises Act independent dispute resolution awards, according to an Oct. 16 complaint reviewed by Becker’s. The…
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When NueHealth wanted to build an orthopedic ASC in Chicago’s southwest suburbs designed to take on financial risk for total joint replacement, Illinois law steered it away from building one from scratch. Illinois is one of 35 states, plus Washington,…
A Johnson County, Kan., health software CEO has been sentenced to 19 years in prison for running a platform that generated false physician orders used to bill Medicare and other federal health programs more than $1 billion, according to an…
A bad hire, an underused robot or a budget built on hope can cost an ASC far more than it saves. Many leaders say their costliest missteps of the past year looked like sound decisions at the time. Twenty-four ASC…
The number of provider groups receiving federal independent dispute resolution decisions on ambulatory surgery center claims nearly doubled to 2,580 in 2025, up from 1,324 in 2024, according to an analysis from Sunlight. Sunlight drew on CMS Federal IDR Public…
Miami-based cardiology group MyCardiologist opened the MyCardiologist Ambulatory Care Center, a new outpatient cardiovascular facility located in Miami Lakes, Fla. The center focuses exclusively on cardiovascular care and is staffed by experienced cardiologists and clinical personnel. It serves established MyCardiologist…
Independent ambulatory organizations have absorbed much of the volume moving outpatient — but the scheduling, intake, coding, prior authorization and reporting systems underneath were built for a different payer environment and an earlier generation of technology. A new Becker’s Healthcare…
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Disputes over where physicians can practice are becoming more contentious and complex as physicians contract into hybrid arrangements with management services organizations and health systems begin suing one another over physician groups. Some of these cases are playing out as…
Ambient AI scribes are easy to pilot and hard to scale. The Department of Veterans Affairs put the category to a national test, evaluating more than 150 solutions before deploying a select few inside its decades-old EHR at federal security…
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The anesthesia shortage is easing for ASCs, but not evenly. Small centers and those staffed only by anesthesiologists report the strongest access, while large centers and those using the industry’s most common staffing model still trail. Of the 307 surgery…