CMS settled a record number of 104 Stark law self disclosures in 2022, totaling more than $9.2 million, according to a Sept. 18 JDSupra report from law firm McGuireWoods.
Category: ASC Coding, Billing and Collections
The Stark law issues physicians are eyeing
Four physicians joined Becker’s to discuss the Stark law trends they are eyeing.
HOPDs charge up to 58% more than ASCs
The cost of common medical procedures are as much as 58 percent more expensive when performed in hospital outpatient departments compared with ASCs or physicians’ offices, according to an analysis by the Blue Cross Blue Shield Association.
What's on the horizon for value-based care in ASCs?
Value-based care has become one of the most-used buzzwords in healthcare. But how does it apply to ASCs?
8 payer moves ASCs need to know
Here are eight updates on six of the U.S.’ largest payers that ASC leaders should know:
New CMS rule to target opioid usage in ASCs
As part of its 2022 end-of-the-year spending package, Congress passed the NOPAIN Act, set to take effect in 2025, that will set up a separate Medicare payment for certain non-opioid pain management approaches in outpatient and ASC settings, according t…
FTC continues to target noncompetes: 5 things to know
The 7th Circuit Court of Appeals remanded a district court’s dismissal of an antitrust case that could have implications for noncompete agreements, according to a Sept. 8 JDSupra article from law firm Shearman & Sterling.
AHA weighs in on CMS' proposed ASC payment system
The American Hospital Association, which represents 5,000 member hospitals, health systems and other healthcare organizations, has submitted a letter to CMS commenting on its proposed hospital outpatient prospective payment system and ambulatory surgic…
Here's what 10 physician specialties bill to commercial payers every year
On average, physician specialists bill $3.8 million annually to commercial payers, but some specialties, including orthopedic surgery and urology, bill well over that amount, according to data from AMN Healthcare’s 2023 “Review of Physician and Advance…
Blue Cross Blue Shield of Michigan to reduce prior authorizations by 20%
Blue Cross Blue Shield of Michigan has announced a new effort to reduce prior authorization requirements by 20 percent in order to improve healthcare quality and access while reducing administrative tasks.
