UnitedHealthcare, CVS Health and Cigna were the three largest health insurance companies by 2022 revenue.
Category: ASC Coding, Billing and Collections
Justice Department recovered $1.7B in healthcare false claims settlements in 2022
Of the $2.2 billion in false claims settlements the Justice Department reported in the fiscal year ending Sept. 30, $1.7 billion involved healthcare organizations, the department said Feb. 7.
Florida physician group to pay $2M to resolve false claims allegations
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.
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.
