Category: ASC Coding, Billing and Collections

CMS to cut physician pay in 2024

CMS will reduce overall physician pay 1.25% in 2024, while boosting pay for some visits including primary and longitudinal care.

California physician convicted of healthcare fraud, kickbacks

Oakland, Calif.-based physician Henry Geoffrey Watson, MD, was convicted for accepting kickbacks for patient referrals, healthcare fraud and false statements. 

Reimbursement woes continue to bog down physicians

Reimbursement issues remain one of the top challenges for physicians across specialties.

UnitedHealthcare launches round 2 of prior authorization cuts: What ASCs should know

In August, UnitedHealthcare announced plans to reduce 20% of its prior authorization requirements for its members and member physicians beginning on Sept. 1. 

Noncompetes by the numbers

Here are five key numbers about noncompetes to know:

Another state proposes near-total noncompete ban: 5 things to know

A bill has been introduced in the Wisconsin Legislature that would ban most noncompete agreements, the Wisconsin Law Journal reported Oct. 31. 

Mutual of Omaha, Wellcare launch Medicare Advantage plan

Mutual of Omaha has formed a strategic alliance with Wellcare, the Medicare Advantage brand owned by Centene Corp., to offer jointly designed Medicare Advantage plans for the 2024 plan year. 

Medicare Advantage plan to end coverage in 2 California counties

Residents in California-based Napa and Sonoma counties with Medicare Advantage plans through Senior Care Action Network will no longer have coverage beginning on Dec. 31, according to an Oct. 27 report from the Press Democrat. 

The Stark law by the numbers

Here are five key numbers relating to Stark law to know:

Cigna in headlines: 10 updates in 60 days

Cigna, the fourth-largest insurer in the U.S. by membership, has received accolades — and scrutiny — in the last two months.