Category: ASC Coding, Billing and Collections

Here are three Stark law updates Becker’s has reported on since June 6:

King of Prussia, Pa.-based Select Physical Therapy is the largest physician group based on the amount of its Medicare charges, which reach nearly $6 billion annually, according to Feb. 28 data from Definitive Healthcare. 

Certificate-of-need laws, which govern where providers can build facilities, including ASCs, are considered by some as an obstacle to ASC development.

A law has passed in Florida amending the state’s Stark law supervision requirements, law firm Holland and Knight wrote in a June 30 JDSupra article. 

Hinsdale, Ill.-based physician John Greager, MD, has been sentenced to 6 months in prison and fined $1 million for submitting fraudulent claims to Medicare and a private payer. 

Here is how Medicare’s conversion factors have evolved over 10 years, according to data from the American Medical Association: 

Connecticut Gov. Ned Lamont signed into law a policy that changes the state’s facility fees law, according to a July 5 post from JD Supra.

Cigna, one of the largest payers in the U.S., surpassed investor expectations by posting a first quarter revenue of $1.3 billion.

Two physician specialties saw pay declines between 2021 to 2022, according to a new survey from the American Medical Group Association.

 Ophthalmologist Jay Singleton, MD, who owns an ophthalmology practice in New Bern, N.C., is challenging the state’s certificate-of-need laws in a suit that says he can’t perform procedures at his ASC.