Category: ASC Coding, Billing and Collections

Why this physician thinks pay is shrinking

Low reimbursements coupled with the overall decrease of physician revenue from employment models create a perfect storm for physician compensation. 

How value-based care is pacing in 5 specialties

Though the popularity of value-based care is rising, fee-for service payment models remain the status quo in several areas of healthcare.

The fight for fair ASC, physician pay: Behind the scenes with Dr. Adam Bruggeman

Adam Bruggeman, MD, of Texas Spine Care Center in San Antonio, shared insight about the government and private payer landscape related to physicians and ASCs at the 19th Annual Spine, Orthopedic & Pain Management-Driven ASC event.

Anti-kickback law at a state level: 3 things to know

Though the Anti-Kickback Statute is federal law, it plays out differently from state to state. 

What the anti-kickback law means for physicians

The federal healthcare Anti-Kickback Statute targets bribery and corruption within healthcare, according to a June 13 post from JD Supra.

5 prior authorization moves to know

Here are five prior authorization updates Becker’s has reported on since May 25:

Congress pushes to lessen prior authorization burden for providers

More than 230 U.S. Representatives and 61 Senators have authored letters urging CMS and the Department of Health and Human Services to finalize a proposal that would require insurers to streamline the prior authorization process for federally sponsored…

Nursing facility, management company settle physician kickback allegations for $3.8M

Alta Vista Healthcare & Wellness Centre, a skilled nursing facility in Riverside, Calif., and its management company, Rockport Healthcare Services, agreed to pay the U.S. and California $3.825 million to resolve kickback allegations.

Where are physicians losing money?

Eleven percent of physicians attribute financial losses to practice issues such as business problems, reimbursement changes and a change in practice setting, according to Medscape’s “Physician Wealth & Debt Report 2023.”

18 states with the most medical debt

The Commonwealth Fund released the 2023 Scorecard State Health System Performance report, examining quality healthcare access and affordability by state.