Orlando-based physician group Florida Cardiology and 10 physicians will pay $2 million to resolve allegations that they submitted inflated claims to Medicare and Medicaid, the Justice Department said Feb. 13.
Category: ASC Coding, Billing and Collections
Lawmakers reintroduce bill to increase access to ASCs
Four lawmakers have reintroduced legislation to increase Medicare beneficiaries’ access to affordable outpatient surgical care.
5 ways ASCs are keeping costs down
Rising operating costs amid record-breaking inflation is making it difficult for ASCs to meet margins.
New York bill calls for oversight on private practice transactions
A bill introduced in the 2024 New York State Executive Budget would require regulatory review for certain physician practice and management service organization transactions.
Hospitals defy price transparency rules
Most hospitals aren’t complying with federal price transparency rules that went into effect January 2021, with few consequences, according to the Fourth Semi-Annual Hospital Price Transparency Report from the PatientRightsAdvocate.org.
Ohio physician to pay $2.2M for role in drug kickback scheme
Hudson, Ohio-based physician Deepak Raheja, MD, was sentenced to prison and must pay $2.2 million after pleading guilty to his role in a pharmaceutical kickback scheme, the U.S. Justice Department said Feb. 3.
UnitedHealthcare's 2023 outpatient procedure code changes
UnitedHealthcare made changes to its outpatient procedure group mapping that went into effect Jan. 1.
The biggest ASC reimbursement shift in 2022
CMS updated ASC payment rates to 3.8 percent, the most critical reimbursement shift in 2022, according to VMG Health’s “ASCs in 2022: A Year in Review” report released Jan. 26.
Top ASC procedures as a percentage of total Medicare payments
The top ASC procedure makes up 20.4 percent of total Medicare payments in 2022, according to a Jan. 26 report from VMG Health.
BCBS leans into site-neutral payments
The Blue Cross Blue Shield Association released a policy statement backing site-neutral payments as a key focus for saving billions of dollars in the next decade.
