A Missouri appeals court is sending an antitrust case against some of the state’s largest health insurers, brought by thousands of doctors, to arbitration, according to The Kansas City Star.
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Fairview Health Services in Minnesota and Blue Cross Blue Shield of Minnesota are less than a month away from their current contract expiring, which could leave one of the state’s top hospital clinic groups out-of-network with the state’s largest health…
Deaconess Hospital in Cincinnati will soon become a joint venture with physicians in a restructuring that participants in the partnership hope will appeal to doctors and help bring a financial turnaround for the struggling hospital, according to the Business Courier…
Lester E. Cox Medical Centers, a health care system headquartered in Springfield, Mo., will pay $60 million to settle claims that it violated the False Claims Act, the anti-kickback statute and the Stark statute, according to the U.S. Department of…
Physicians will earn bonuses from Medicare for using electronic prescribing systems beginning in 2009, according to published sources.
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With the advent of the updated CMS 2008 fee schedule, orthopedic surgery now becomes an even more viable option for the ASC. 183 Orthopedic CPTs were added to the list, including a uni-compartment knee replacement (CPT 27446). In addition, ASCs…
The general concept over the past several years has been that block leasing presents less regulatory risk than per-click leasing. In essence, under a per-click lease, a party buys an image or test and resells it to a payor or…
Hospital hiring of physician specialists ebbs and flows, driven by reimbursement climates. According to the American Academy of Orthopaedic Surgeons, hospital employment of orthopedic surgeons nearly doubled from 2.2 percent of surgeons in 1990 to as high as 4.3 percent…
Here is a summary of major changes to the Medicare program covered in the recently passed Medicare Improvements for Patients and Providers Act of 2008.
From 2000 through 2006 Medicare spending for imaging services more than doubled, increasing to about $14 billion, according to a Government Accountability Office report titled "Medicare Part B Imaging Services: Rapid Spending Growth and Shift to Physician Offices Indicate Need…