Author's posts
Anesthesia billing’s ‘hidden revenue killers’
Anesthesia billing is complicated and evolving, according to a March 15 blog post from Knack RCM. Here are nine of the “hidden revenue killers,” according to the report: 1. Time-based billing complexity Unlike most specialties, anesthesia billing is time-based. Payers differ in how they calculate time units — Medicare uses decimals, while some commercial plans […]
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Physician executive, medical group to pay $60M+ for false claims suit
A medical group, its subsidiary and its former physician president will pay more than $60 million for allegedly submitting false diagnosis codes to inflate Medicare Advantage payments, according to a March 26 news release from the Justice Department. What happened? Who else is involved?
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Physician pay by specialty
Radiology was the highest-paid physician specialty in 2023, according to MedPAC’s March 13 report to Congress. Here’s the median annual compensation for physicians by specialty in 2023:
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Cardiology cases spiking in ASCs
The number of cardiology procedures performed in ASCs is rising sharply, according to HST Pathways’ latest “State of the Industry Report.” The report surveyed 590 ASCs in 47 states. Here are four more insights: 1. Cardiology operating room times decreased by approximately 28% compared to the previous year. 2. Despite improved efficiency, average net revenue […]
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The new procedures driving spine’s outpatient surge
As spine surgery continues to evolve with technological advances and a push toward value-based care, more procedures are shifting to ASCs. Amid new minimally invasive techniques, improved pain management protocols and surgical innovations, procedures once exclusively done in hospitals are increasingly performed safely and effectively in outpatient settings. Several spine surgeons joined Becker’s recently to […]
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The certificate-of-need anomaly
A March 14 MedPAC report found that while certificate-of-need laws are a major factor in ASC development, other state-specific factors, such as healthcare payment models and demographics, can blunt their effects. Here are five things to know certificate-of-need laws and ASCs, according to the report: 1. More states are moving to change their certificate-of-need laws. […]
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FDA clears first automated endoscope cleaning system
Nanosonics has received FDA De Novo clearance for its new Coris system, a technology designed to improve the cleaning of flexible endoscopes and reduce infection risk, according to a March 20 news release from the company. Coris uses an automated cleaning process to clean the internal channels of endoscopes, such as colonoscopes, where biofilm and […]
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Hospital, health system layoffs in 2025: State-by-state breakdown
Becker’s has reported on 20 hospital and health system layoffs since Jan. 1. Here’s a state-by-state breakdown: California Oakland-based Kaiser Permanente will cut 64 jobs, mainly in business and IT roles, by April 25, per WARN notices. The system also plans to cut 52 positions tied to its Educational Theatre initiative across multiple cities, effective […]
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GI procedures dominate at ASCs
Gastrointestinal procedures make up a huge share of the most commonly billed services at ASCs, according to a March 13 MedPAC report. While cataract surgeries top the list, several GI-related procedures follow closely, accounting for a large portion of ASC case volume for Medicare beneficiaries. Here are the GI procedures among the 20 most commonly […]
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Physicians dominate ASC ownership — but big corporations are catching up
ASCs remained overwhelmingly for-profit in 2023, with 95.3% operating as such, according to a March 13 MedPAC report to Congress. Here are three more insights into the shifting landscape of ASC ownership: 1. Physicians still hold majority stakes. Most ASCs are at least partially owned by physicians, maintaining a long-standing trend of clinician investment in […]
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