Category: ASC Coding, Billing and Collections

Who's facing noncompete lawsuits?

Noncompete clauses are facing increasing scrutiny, as physicians, states and even the Federal Trade Commission look to reform policy. 

5 numbers on the rise of Stark law violations

Hospitals, health systems and physicians faced big Stark law penalties in 2023.

ASC growth could hinge on this policy 

Patient and provider interest in ASCs is rising, but markets that have stringent certificate-of-need laws could struggle, leaders say. 

Payers are looking to ASCs — here's why 

ASCs are becoming an increasingly popular site of service for patients, and payers are taking note. 

6 problems with Medicare physician payments, per the AMA

Physicians have continued to see Medicare payment cuts year over year, with a 2% cut in 2023 being followed by a 1.68% cut in 2024, according to an April 8 report from the American Medical Association. 

10 notes on physician pay cuts

Medicare pay cuts are making it difficult for many smaller, independent physician practices to meet margins. 

What would happen if physicians no longer accepted Medicare?

Becker’s connected with M. Shafeeq Ahmed, MD, president of Johns Hopkins Howard County Medical Center in Columbia, Md., to discuss the risks the increasing number of physicians electing not to accept payments from Medicare poses to care delivery as a w…

Health systems considering dropping Medicare Advantage: What ASCs need to know 

Nearly half of health systems are considering dropping Medicare Advantage, according to a survey from the Healthcare Financial Management Association and Eliciting Insights. 

15% of claims denied regardless of prior authorization: 5 notes

Approximately 15% of all medical claims sent to insurers are denied, including claims that were pre-approved, according to a recent report by healthcare solutions and research company Premier.

Where noncompetes could be banned next

Maine is poised to be the next state to ban noncompete agreements, the National Law Review reported March 25.