A physician from Sewell, N.J., was convicted for causing the submission of more than $5.4 million in fraudulent claims to Medicare.
Category: ASC Coding, Billing and Collections
New Jersey physician convicted for $5.4M Medicare fraud scheme
A physician from Sewell, N.J., was convicted for causing the submission of more than $5.4 million in fraudulent claims to Medicare.
6 CMS wins, losses for ASCs in 2024
Here are six recent moves by CMS that may benefit — or burden — ASCs, as reported by Becker’s in 2024:
ASCs' reimbursement problem
ASCs are historically reimbursed at lower levels than hospital outpatient departments, despite being considered by many in healthcare to be a high-quality and low-cost site of care.
FTC to ban noncompetes
The Federal Trade Commission has banned noncompete clauses for most U.S. workers, The Washington Post reported April 23.
Where physician noncompetes could be banned next
The Pennsylvania House has passed legislation that would ban noncompete clauses for physicians, certified registered nurse practitioners and physician assistants.
FTC to vote on noncompete ban
The Federal Trade Commission will hold an open meeting to vote on its proposed noncompete ban April 23.
AMA, MedPAC push for Medicare reimbursement reform
The American Medical Association backed the Medicare Payment Advisory Commission’s recommendations for Congress to reform Medicare payments.
Stark law settlements hit a record $12.6M: What to know
CMS settled a record-breaking $12.56 million in Stark law voluntary self-referral disclosure settlements in 2022, according to recent CMS data.
Noncompetes have 'handcuffed' physicians: Viewpoint
Physicians, state governments and the Federal Trade Commission are all battling to reform policy surrounding noncompete clauses, which prohibit physicians from seeing patients one to two years within a geographic region if they are fired or quit their …
