Category: ASC Coding, Billing and Collections

Stark law's unintended consequences

Some of the largest recoveries by the Justice Department in the last year were Stark law violations, and some leaders worry the policy is hurting physicians rather than preventing corruption. 

CMS moves that are hurting, helping physicians 

CMS moves are changing the way physicians practice. Here are four recent moves from CMS that are either helping or hurting physicians:

The latest on prior authorization reform

The push to revamp prior authorization practices has picked up steam recently.

New York City considers own noncompete ban following governor's veto

The New York City Council is considering bills that would ban noncompetes after Gov. Kathy Hochul in December vetoed a bill that would have prohibited them statewide, Newsday reported March 17. 

Washington strengthens noncompete restrictions

A bill amending Washington’s noncompete policy was signed into law by Gov. Jay Inslee on March 13, according to a news release from the Washington Senate Democrats. 

Florida's physician noncompete ban stalls

The Florida Legislature declined to pass two laws banning noncompetes for physicians and doctors of osteopathic medicine, law firm McDermott Will & Emery said in a March 12 blog post. 

The CMS moves helping, hurting ASCs

Here are six CMS moves that are helping and hurting ASCs.

5 ASC procedures seeing a reimbursement decline

Five ASC procedures are projected to experience a decline in reimbursements in 2024, according to a VMG Health report. 

Prior authorization: 10 things to know in 2024

Prior authorization practices and protocols have changed among many major payers in the last year.

CMS to accelerate Medicare payments for physicians hit by Change cyberattack

CMS has announced a program that will accelerate payments to Medicare Part A providers and advance payments to Part B providers who were impacted by the Change Healthcare cyberattack, according to a March 9 report from the American Medical Association….