A Texas physician was convicted by a federal jury for his involvement in the submission of more than $70 million in fraudulent claims to Medicare for unnecessary orthopedic braces and tests.
Category: ASC Coding, Billing and Collections
Nevada physician convicted of $2M fraud scheme
A Nevada physician was convicted for his role in defrauding Medicare and Medicaid of nearly $2 million.
Michigan physician convicted in $6.3M Medicare fraud scheme
A physician from Bloomfield Hills, Mich., was convicted of healthcare fraud and making false statements in what federal officials say was a $6.3 million Medicare fraud scheme.
The Medicare policies restraining ASC growth
Three ASC leaders joined Becker’s to discuss the Medicare policies that are impeding the growth of surgery centers.
ASC reimbursements are changing – here's how
The ASC sector has seen continued increases in CMS payment rates as procedures continue to shift to the outpatient setting, according to VMG Health’s 2024 Healthcare M&A Report published May 7.
How the cost of 4 ASC procedures has changed
Here is how the cost of four common ASC procedures has changed from 2019 to 2024, using data from Blue Cross Blue Shield affiliate Blue Health Intelligence’s “Rising Prices for Hospital Outpatient Care” brief, published last year and Sidecar Heal…
Are nonprofits exempt from FTCs' noncompete ban?
The Federal Trade Commission voted to ban noncompete clauses for most U.S. workers April 23. The rule would make it illegal to include noncompetes in employment contracts unless the employer is a nonprofit, as the FTC’s jurisdiction does not generally …
The battle against the FTC noncompete ban heats up
The Federal Trade Commission voted to ban noncompete clauses for most U.S. workers April 23, and organizations have begun to file lawsuits.
Maryland bans noncompetes for healthcare employees amid FTC decision
Maryland Gov. Wes Moore has signed a law prohibiting noncompetes for healthcare professionals April 25, according to an article by labor law firm Littler published in JDSupra.
Physician reimbursements down 2.3%
Physician reimbursement amounts per Medicare patient decreased around 2.3% between 2005 and 2021 when accounting for inflation, according to a new study from the Harvey L. Neiman Health Policy Institute.
