Category: ASC Coding, Billing and Collections

ASC ownership is 'paramount' to success: 4 thoughts on ownership

Four ASC leaders joined Becker’s to discuss their thoughts on ASC ownership. 

ASC reimbursement rates shouldn't be based on ownership, leader says

According to Dennis Fliegelman, principal consultant at West Lake Village, Calif.-based ARA Financial Services, outpatient reimbursement should be based on clinical rationale rather than ownership structure. 

Stark Law: What ASC leaders need to know in 2023

Becker’s has reported on three Stark Law changes and considerations in 2022. Here’s what ASC leaders need to know going into 2023:

Why this ASC leader questions CMS' 'methodology'

Dennis Fliegelman, principal consultant at West Lake Village, Calif.-based ARA Financial Services and former hospital administrator, joined Becker’s to discuss how CMS performed in 2022. 

Florida physician group cuts ties with BCBS 

Fort Myers, Fla.-based Millennium Physician Group has cut ties with two Blue Cross Blue Shield plans, YourSun.com reported Dec. 26. 

Massachusetts physician indicted for role in healthcare fraud scheme 

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. 

5 things to know about value-based care going into 2023

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

Chicago physician charged for role in $9.5M+ kickback scheme 

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. 

Illinois practice, ASC launches health plan

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

'The standard of medicine in this country will continue to decline': 4 leaders on reimbursements

Here are four leaders’ thoughts on reimbursements: