Category: ASC Coding, Billing and Collections

For many ASCs, cost pressures persist and payers haven’t adjusted to reflect rising costs. 

Pediatric intensivist David Lankford, DO, is suing Fort Wayne, Ind.-based Lutheran Health Network, his former employer, to get out of his noncompete agreement, Indiana Public Media reported July 10. 

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.