Category: ASC Coding, Billing and Collections

Payers still pushing procedures to the ASC setting — here's why

Cost savings and convenience are pushing procedures to the ASC setting, according to five leaders who spoke with Becker’s ASC Review.

14% of physicians participate in value-based care models: Medscape

Though value-based care is rising in popularity, it is not yet the industry standard. 

Are physicians dropping Medicare, Medicaid patients?

Sixty-five percent of physicians plan to continue treating Medicare and Medicaid patients as well as take on new ones, according to Medscape’s “Physician Compensation Report 2023.”

Lawmakers introduce Medicare physician pay reform bill

Congress has introduced a bill that would tie the Medicare physician pay schedule to the Medicare economic index. 

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.