Category: ASC Coding, Billing and Collections

Elevance Health facing Medicare fraud suit, and 4 more updates

Here are five updates from Elevance Health, formerly Anthem, since Oct. 5. 

One ASC leader’s tips for lowering operating costs

Prashanth Bala, vice president of ASC operations at Shields Health in Quincy, Mass., spoke with Becker’s Oct. 21 to discuss tips for lowering ASC operating costs.

Physician pay is decreasing in these specialties

Physician pay is decreasing in four specialties, according to Merritt Hawkins and AMN Healthcare’s 2022 “Review of Physician and Advanced Practitioner Recruiting Incentives.”

94% of physicians live at or below their means 

Ninety-four percent of physicians live at or below their means, according to Medscape’s 2022 “Physician Wealth & Debt Report.”

Physicians’ cost cutting tactics

In its 2022 “Physician Wealth & Debt Report,” Medscape surveyed physicians on their compensation and how they manage their money.

Aetna in the headlines: 9 updates in 30 days

Here are nine recent stories Becker’s has covered about Aetna and its parent company, CVS Health, in the last 30 days: 

Prior authorization largest regulatory burden for group practices: survey

Eighty-two percent of group practice executives say prior authorization is very or extremely burdensome, according to the Medical Group Management Association’s “Annual Regulatory Burden Report.”

76% of executives say value-based payment increased regulatory burdens: survey

As healthcare continues to move toward value-based care, payment based on the model remains a point of contention, according to the Medical Group Management Association’s “Annual Regulatory Burden Report.”

5 largest payers by revenue

UnitedHealth Group is the largest payer by 2021 revenue, according to a Sept. 1 report from ValuePenguin. 

Former New Jersey PA sentenced for role in $1M healthcare fraud scheme 

Willingboro, N.J.-based former physician assistant Aaron Jones, 28, was sentenced to two years in prison for a scheme that defrauded payers millions of dollars, Press of Atlantic City reported Oct. 5.