Category: ASC Coding, Billing and Collections

Brookline, Mass.-based sleep medicine physician Pankaj Merchia, MD, was indicted for his alleged role in a healthcare fraud scheme, the U.S. Attorney’s Office said Dec. 20. 

Here are five key things to know about value-based care going into 2023:

Chicago-based Benjamin Toh, MD, has been charged for his role in a more than $9.5 million healthcare fraud scheme, the Justice Department said Dec. 14. 

Springfield (Ill.) Clinic, a multispecialty physician practice with an ASC, launched a health plan, according to a Dec. 8 report from the Illinois Times.

Here are four leaders’ thoughts on reimbursements:

Here are four Cigna updates reported on by Becker’s since Oct. 21:

Here are six updates from UnitedHealthcare, one of the largest payers, since Nov. 17:

Here’s how much physicians were paid on average over the last five years, pulled from Medscape’s physician compensation reports:
 

Two leaders joined Becker’s to discuss whether payers are pushing procedures to ASCs and other outpatient settings. 

Payers are increasingly issuing policies that push patients outside of hospital settings, according to Laren Tan, MD, chair of Loma Linda (Calif.) University Health’s department of medicine.