Category: ASC Coding, Billing and Collections

Despite its growing popularity, only 14% of physicians participate in the value-based payment model, according to Medscape’s “Physician Compensation Report 2023.”

CMS recently added 11 surgical codes to the ASC payable list and finalized a 3.1% payment rate for ASCs in its 2024 final rule.

Sixteen states have no certificate-of-need laws, according to a report from HealthCare Appraisers, a consulting firm. 

The Delaware Supreme Court ruled that financial services company Cantor Fitzgerald properly denied $9 million to former partners under noncompete agreements, Bloomberg Law reported Jan. 29. 

More states have been looking to repeal or reform their certificate-of-need laws with the intention of increasing access to care. 

A married couple living in Birchwood, Tenn., have been sentenced for a $65 million TriCare fraud scheme. 

Becker’s has reported on three major payer contract splits and resolutions that have affected ASCs since Dec. 5:

The North Carolina Supreme Court has granted review in September for a lawsuit from Jay Singleton, MD, who owns an ophthalmology practice in New Bern, N.C., challenging the state’s certificate-of-need laws. 

The Federal Trade Commission has been largely silent on its proposed ban on noncompete contracts for full-time employees and independent contractors introduced January 2023, according to an article by law firm BakerHostetler published in JDSupra.

Indianapolis-based Community Health Network recently agreed to pay $345 million to resolve claims it violated the False Claims Act and Stark law, indicating the importance for providers to pay close attention to physician compensation arrangements, law…