As we head toward 2010, several hot topics are at the front of orthopedic and spine surgeons' minds. These include reimbursement, legislative and business issues that could be troublesome for physicians. With the dawn of healthcare reform, many of these…
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Use of Medicare-covered services varies by as much as 30 percent from region to region and fraud and abuse may drive some of the highest reported service use, according to a new report by the Medicare Payment Advisory Commission.
The Gilbert (Ariz.) Town Council has approved plans to rezone land formally used for single-family homes, paving the way for construction to begin on the Surgery Center at Gilbert, according to a report in The Gilbert Republic.
SCCI Hospitals has paid $830,000 to settle claims that its Detroit facility overbilled Medicare for services, according to a report by WLNS News.
1. Ophthalmology represents 18 percent of the average case volume in surgery centers, second behind GI/endoscopy (25 percent). The average surgery center performs 4,869 cases annually, which would average to around 876 ophthalmology cases annually.
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A report issued by the White House Office of Management and Budget found that Medicare, Medicaid and Medicare Advantage programs spent $54 billion in improper payments for healthcare in fiscal year 2009, an increase of $26 billion over FY 2008,…
Rajashaker Reddy, MD, owner of Reddy Solutions in Atlanta, was arraigned in U.S. District Court on charges including wire fraud, mail fraud and healthcare fraud, according to a report in The Bulletin.
The Kerlan Jobe Orthopaedic Clinic, a sports medicine clinic in Los Angeles, has agreed to pay $3 million to settle allegations that it received illegal kickbacks from HealthSouth Corp., according to a U.S. Department of Justice news release.
Several Joint Commission standards for hospitals have embarrassingly low compliance rates. Two Joint Commission experts — Jerry Gervais, CHFM, CHSP, an engineer and associate director in the Joint Commission's Standards Interpretation Group and Mary Carol Mooney, RN, MSN, senior associate…
John D. Fanburg, an attorney for the New Jersey Association of Ambulatory Surgery Centers, says surgery centers in the state are under attack on two fronts: from the state's Codey Law, which was amended this year, and by new payor…