Author's posts
Acupuncturist pleads guilty to $23M fraud scheme
Junyi Liu, an acupuncturist from Great Neck, N.Y., pleaded guilty to conspiracy to commit healthcare fraud, according to a March 27 news release from the Justice Department. What happened? Who else was involved?
The post Acupuncturist pleads guilty to $23M fraud scheme appeared first on Becker’s ASC.
How a new network is helping ASCs reclaim independence
In response to growing challenges facing independent ASCs, healthcare consultant Gregg Gordon launched Surgical Solutions IPA, one of the nation’s first independent practice associations dedicated exclusively to ASCs, in 2024. The New York City-based organization aims to bring together independent ASCs to improve negotiating leverage with payers, reduce administrative overhead and ultimately lower the total […]
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USPI names new CEO
Matt Stone has been named CEO of Dallas-based United Surgical Partners International, the San Antonio Business Journal reported March 28. According to his LinkedIn profile, Mr. Stone previously served as the Group CEO of Central, South and West Texas for USPI’s parent company Tenet. He has also served as the CEO of Northeast Baptist Hospital […]
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Court upholds record-breaking $40M verdict against physician
The Georgia Court of Appeals has upheld a $40 million judgment against emergency room physician Matthew Womack, MD, marking what is believed to be the largest emergency room malpractice verdict in the state’s history, according to a March 20 news release from Bell Law Firm. What happened? Who else is involved?
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Surgical hospital sues Cigna for $1.34M in claims
Lenexa, Mo.-based Minimally Invasive Surgery Hospital has filed a lawsuit against Cigna, alleging the insurer failed to pay $1.34 million in claims, Kansas City Business Journal reported March 27. . What happened? Becker’s has reached out to Cigna and will update this story if more information becomes available.
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Which ASC specialty has the highest case revenue?
Orthopedic procedures had the highest average net revenue per case at ASCs in 2024, according to HST Pathways’ latest “State of the Industry Report.” Here is a breakdown of the average net revenue per case by specialty:
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ASC prior authorizations continue to rise
Prior authorization rates are increasing at ASCs, according to HST Pathways’ latest “State of the Industry Report.” The report surveyed 590 ASCs in 47 states. Here are five more insights to know: 1. In 2024, 46% of cases completed preauthorizations, up from 42% in 2023. 2. Only 24% of cases that required a preauthorization in […]
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Physician among those indicted in $8M fraud scheme
A federal jury has convicted a Kentucky physician, among other parties, for his role in a scheme to defraud Medicare and Kentucky Medicaid via Kentucky Addiction Centers, according to a March 26 news release from the Justice Department. What happened? What’s next?
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ASC cancellation rates tick up
ASCs are seeing a slight increase in case cancellations, averaging a 21% cancellation rate in 2024 — up from 20% in 2023, according to HST Pathways’ latest “State of the Industry Report.” Here are four more insights: 1. Seventy-seven percent of healthcare services using text messaging saw improved outcomes. 2. ASCs collected 51% of expected […]
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Gastroenterology volume, revenue up in ASCs
The average monthly gastroenterology case volume at ASCs in 2024 reached 176, up from 167 in 2023, according to HST Pathways’ latest “State of the Industry Report.“ The report surveyed 590 ASCs in 47 states. Here are five more key insights 1. At 59.6%, gastroenterology had the highest operating room block utilization among specialties in […]
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