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.
Category: ASC Coding, Billing and Collections
The states with no certificate-of-need laws
Sixteen states have no certificate-of-need laws, according to a report from HealthCare Appraisers, a consulting firm.
Noncompetes enforced in Delaware court decision
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.
The push to change certificate-of-need laws
More states have been looking to repeal or reform their certificate-of-need laws with the intention of increasing access to care.
Tennessee couple sentenced in $65M healthcare fraud scheme
A married couple living in Birchwood, Tenn., have been sentenced for a $65 million TriCare fraud scheme.
3 payer splits, resolutions affecting ASCs
Becker’s has reported on three major payer contract splits and resolutions that have affected ASCs since Dec. 5:
Surgeon's lawsuit over North Carolina's certificate-of-need policy: Where it stands
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.
Bad news for FTC's noncompete ban
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.
What a $345M Stark law ruling means for physician pay structure
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…
What every physician should know about Stark law
Many physicians have experienced challenges stemming from Stark law, which bans them from making referrals for Medicare-payable health services if the physician or immediate family member has a financial relationship with the entity.
