CMS recently proposed a series of payment updates across multiple care settings for fiscal year 2026. ASCs are impacted directly, but the changes could affect care delivery dynamics. Here are 10 things to know: 1. CMS proposed a 2.4% payment increase for inpatient hospitals, translating to a $4 billion funding surge. The proposed 2.4% pay […]
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On April 10, CMS Administrator Mehmet Oz, MD, announced his vision for the agency, which includes a commitment to President Trump’s “Make America Healthy Again” agenda and modernizing Medicare, Medicaid and the ACA marketplace. Here’s five things for ASCs and physicians to know about the plans: 1. CMS will first implement President Trump’s recent executive […]
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Becker’s has reported on nine physicians who are facing fraud cases in the last month:
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Miramar, Fla.-based Vohra Wound Physicians Management and its founder Ameet Vohra, MD, are facing a federal complaint alleging a Medicare fraud scheme involving overbilling and unnecessary wound care services provided to nursing home patients, according to an April 4 news release from the Justice Department. What happened? What happens next?
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On April 5, the Senate passed an amended fiscal 2025 budget revolution that maintained proposed cuts to Medicaid, including the introduction of work requirements. Here are 10 things to know about the work requirements and what they mean for physicians: 1. The work requirements proposal, introduced by Sens. John Kennedy, R-La., and Eric Schmitt, R-Mo., […]
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CMS has released its final rule for Medicare Advantage and Part D for 2026, introducing several regulatory changes aimed at improving care coordination and beneficiary protections. While the rule includes important updates, such as streamlining prior authorization processes and clarifying the use of supplemental benefits, it stops short of addressing two of the most closely […]
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Physician reimbursement is often at the heart of healthcare policy debates, yet key perspectives remain overlooked. Six physicians joined Becker’s to discuss what they believe is missing in conversations about physician reimbursements. Editor’s note: Responses have been lightly edited for clarity and length. Quentin Durward, MD. Neurosurgeon at the Center for Neurosciences, Orthopaedics, & Spine […]
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Constitution Billing and Financial Services, a subsidiary of Constitution Surgery Alliance, and medical coding company Milagro have partnered to launch a new billing platform at all CSA ASCs. Milgaro’s coding platform will be in use across CSA’s network, according to an April 4 news release. The platform will be used to improve AI-driven coding and […]
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On April 3, the Senate passed an amended fiscal year 2025 budget resolution in a 52-48 vote, advancing efforts to potentially initiate the reconciliation process — and keeping proposed Medicaid cuts in focus. The resolution brings the Senate and House closer to a unified budget framework and retains a directive for the House Energy and […]
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Beckley, W.V.-based Med-Surg Physician Group and its owner Oluyemisi Sangodeyi, MD, agreed to pay $152,382 to settle allegations they submitted false Medicare and Medicaid claims and falsely certified compliance with program requirements, according to an April 2 news release from the Justice Department. What happened?
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