Physician groups who provide certain medical equipment, devices and supplies to their Medicare patients could be in violation of Stark law following the end of the COVID-19 public health emergency, attorneys from law firm Epstein Becker & Green wro…
Category: ASC Coding, Billing and Collections
Commonwealth Health's physician group can't enforce noncompete law on former surgeon
A judge has ruled that Commonwealth Health’s physician group, Commonwealth Physician Network, cannot prevent its former surgeon from working locally for Geisinger, The Times-Tribune reported Aug 21.
UHC Texas adds 4 medications to Medicaid prior authorization list
Beginning Sept. 17, UnitedHealthcare Texas will begin requiring prior authorization for four medications based on new state guidelines for Texas’ Medicaid program.
US representative launches investigation into Medicaid prior authorization denials
Rep. Frank Pallone Jr., a Democrat from New Jersey, has announced an inquiry into the high rate of prior authorization denials by Medicaid managed care plans.
Noncompete changes ramp up in 2023
Changes in noncompete agreements, which prohibit physicians from joining a competing practice or setting up their own within a particular distance from their previous practice for a certain period of time, are ramping up in 2023 as states amend their l…
The cost of the 25 most common ASC procedures
Extracapsular cataract removal without endoscopic cyclophotocoagulation is the most common procedure performed at ASCs, according to recent data from Definitive Healthcare.
Healthcare contract labor expenses by region
As physician and administrative shortages remain high, many health facilities are pivoting to contract labor to bolster their care teams.
What happens if physician pay continues to decline?
In July, CMS announced its suggested 3.34 percent conversion factor decrease in its proposed Medicare physician fee schedule for 2024. This proposal, coupled with inflation and low reimbursement rates, could put an additional strain on physicians’ comp…
The biggest headaches for physicians working with Medicaid patients
About 43 percent of physicians receive more claim denials with Medicaid patients than other patients, according to Medscape’s 2023 “Doctors Working with Medicaid” report published Aug. 9, which includes survey results from 251 practicing U.S. physician…
5 reimbursement stats and trends ASCs should know
Here are five physician reimbursement statistics and trends that ASCs should know:
