Category: ASC Coding, Billing and Collections

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….

Physicians' battle against noncompetes 

Physicians across the country are pushing to reform, and in some cases ban, noncompete clauses, which prohibit them from seeing patients one to two years within a geographic region if they are fired or quit their job, NBC News reported March 3. 

ASC leaders remain wary of reimbursement trends

Reimbursement challenges are among the biggest trends ASC leaders are watching.

Physician charged in $20.7M kickback scheme

A New York City physician was charged for allegedly engaging in a $20.7 million healthcare fraud and illegal kickback scheme.

ASCs' reimbursement conundrum

Low reimbursement rates continue to plague ASCs nationwide.

Arizona court rules in favor of noncompete: 5 things to know

An Arizona federal court recently granted a franchisor company’s motion to temporarily restrain a former franchisee from operating a competing business in a noncompete lawsuit, law firm Lathrop GPM wrote in a Feb. 19 article published by JDSupra. …

ASCs are catching the eye of Medicare

The number of Medicare-certified ASCs has increased by 870 since 2011, according to a Feb. 13 report from financial advisory firm VMG Health. 

Stark law violators facing massive penalties 

Some of the largest recoveries by the Justice Department in the last year were Stark law violations, according to a Feb. 8 report from law firm Mintz, which could mean the law could be enforced more strictly moving forward.