The Wasteful and Inappropriate Service Reduction initiative from CMS is set to take effect Jan. 1, 2026, introducing new prior authorization requirements for select services. Here are seven things to know: 1. The WISeR model will launch as a pilot…
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While enrollment in Medicare Advantage has increased over time and allows payers to offer extra benefits to beneficiaries, the program may be contributing to barriers and disruptions to care according to a report released by KFF Oct. 27. The report…
Lawrenceville, Ga.-based Summit Spine & Joint Centers has opened an ASC and clinic in Warner Robbins, Ga. Services provided at the new location include minimally invasive spine care, epidural procedures, joint injections, nerve blocks and general pain management, according to…
Inefficiencies in documentation, contracts and workflows quietly chip away at revenue. Outdated revenue cycle management (RCM) practices can cost physician groups hundreds of thousands each year. Without a comprehensive operational review, many practices never realize how much potential income is slipping through the cracks.…
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Medicare is expected to spend more than $15 billion by the end of 2025 on wound care products that have been linked to waste, fraud and abuse, according to a study published by the National Association of Accountable Care Organizations…
As anesthesia practices confront shifting case volumes, tighter reimbursements and growing cost pressures, flexibility has become a defining skill for long-term success. Brian Cohen, MD, administrative chief of Miami Anesthesia Services, joined Becker’s to discuss how transparency, collaboration and active…
Anesthesia leaders are navigating a challenging period in modern medicine. Between declining reimbursements, workforce shortages and evolving care models, anesthesia groups are under pressure to deliver safe, efficient care with fewer resources. Here are five trends keeping anesthesia leaders up:…
The Department of Justice withdrew a felony indictment alleging wire fraud against two individuals: the former CEO of two El Paso, Texas-based long-term acute care hospitals and the owner of one of them. Four things to know: 1. Jose Huerta,…
Franklin, Tenn.-based Community Health Systems is shifting its focus towards ASCs in 2025, according to a quarterly earnings call published Oct. 24 by Seeking Alpha. Leaders remarked on a positive conclusion to 2025, as CHS’ net operating revenues so far…
Dallas-based United Surgical Partners International, the ASC arm of Tenet Healthcare, reported third-quarter revenue of $1.28 billion, an 11.9% increase from the same period last year, according to financial documents released Oct. 28. Here are five things to know: 1. The…