Category: ASC Coding, Billing and Collections

Texas physician, clinic manager convicted of $1.2M opioid-for-cash scheme 

A Houston-based pain management physician and clinic office manager were convicted for operating a clinic that prescribed more than 600,000 opioids for cash, the Justice Department said April 12. 

The rise of 'single-subspecialty ASCs' 

Some ASC markets are seeing the rise of super-specialized ASCs — ASCs that offer a single subspecialty that allows physicians and staff to master their surgery line. 

Insurer and health system breakups: 3 splits in 2023

Becker’s has reported on three payer and health system splits so far in 2023.

CMS pitches tighter physician-owned hospital restrictions

CMS proposed new guidance for physician-owned hospital reimbursement in the 2024 Hospital Inpatient Prospective Payment System proposed rule on April 10.

CMS' ASC policy? 'D-': Why 1 executive says Medicare reimbursement needs work

Tara Quinton, BSN, RN, director of surgical services at Oklahoma City-based SSM Health’s St. Anthony Hospital, joined Becker’s to discuss CMS financial policies for ASCs.

'Single practitioners and small group practices will not survive': 3 thoughts on declining reimbursement

Three ASC leaders joined Becker’s to discuss how declining reimbursements are affecting the ASC industry. 

What to know about Stark Law and physician recruiting

There are several key Stark Law violations employers need to eye when hiring physicians, JDSupra reported March 31. 

3 major payer moves affecting ASCs 

Here are three major moves from payers that ASC leaders need to know: 

Private practice for physicians is possible: AMA

Being a private practice physician is a good fit for those looking to be their own boss and work with like-minded colleagues, the American Medical Association said in an April 3 blog post. 

Montana clinic to cut physician pay amid 'unsustainable' losses

Billings (Mont.) Clinic plans to cut $4.5 million monthly through cost-saving measures, including physician pay cuts up to 5 percent and suspensions of company contributions to employee retirement plans, MTN News reported March 31.