Category: ASC Coding, Billing and Collections

Understanding physician arrangements and Stark law is critical to ensure patient care while complying with legal policy, according to an Oct. 4 article published in JDSupra and written by the Health Care Compliance Association. 

Here are five leaders’ thoughts on three recent CMS moves shaping the industry:

Young physicians are participating in fee-for-service models more than other methods of payment, according to a report published by Medscape. 

CVS Health-owned health insurance provider Aetna has announced its 2024 Medicare products, the largest Medicare offering in its history. 

Around 6 in 10 adults have experienced problems with their health insurance, according to a Sept. 29 report from KFF, with several problems linked to prior authorization delays and denials from payers. 

Here are three physicians’ thoughts on noncompetes:

Here are three big payer moves disrupting the ASC industry: 

The legal landscape is growing increasingly hostile to noncompete agreements, according to a Sept. 27 article in JDSupra by law firm Dorsey & Whitney. 

The ASC industry is constantly evolving, and one of the major players in its evolution is CMS. 

This year, eight major U.S. health systems have canceled their Medicare Advantage contracts, often citing low reimbursement rates and prior authorization hassles.