Category: ASC Coding, Billing and Collections

Physician-owned hospitals offer lower commercial, cash prices: 5 things to know 

Physician-owned hospitals offer commercial and cash prices that are about one-third lower than non-physician-owned hospitals, according to a study published June 23 in JAMA Network Open.

Stark laws: 7 things physicians should know

Here are seven things physicians should know about the physician self-referral laws, or Stark laws, according to the American Society of Anesthesiologists.

The Anti-Kickback Statute: 7 things physicians should know

Here are seven things physicians should know about the federal Anti-Kickback Statute, according to the American Society of Anesthesiologists:

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…