Category: ASC Coding, Billing & Collections

How to ‘recession proof’ your ASC

Monitoring cash flow, reviewing contracts and improving efficiency are a few strategies that ASC leaders are taking to guard against a potential recession.  Six ASC leaders joined Becker’s to discuss their strategies.  Editor’s note: Responses have been lightly edited for clarity and length.  Question: What strategies are you using to recession-proof your ASC today? Kathleen […]

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ASCs’ overlooked profit drainers

From inefficient OR time use to anesthesia costs, seven leaders joined Becker’s to discuss the most overlooked cost factors affecting ASCs’ financial situations.  Editor’s note: These responses have been edited lightly for clarity and length.  Question: What is the most overlooked cost factor threatening ASC profitability? Heather Combs, RN. ASC Administrator at Austin (Texas) Regional […]

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10 hidden costs for physician practices

As maintaining a private practice grows more challenging, identifying hidden costs is essential to protecting physician practices’ bottom lines.  Medical Economics reported on 10 hidden costs hurting physician practices’ finances in an April 28 article: 1. Outdated EHR and technology: Clunky EHR systems reduce productivity, frustrate staff and patients and lengthen visit times. Reassess technology […]

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The value-based deals, bankruptcies and mergers shaping the industry

Healthcare is seeing a surge in entities pursuing opportunities arising from the transition from fee-for-service to value-based models, according to VMG Health’s 2025 Healthcare M&A Report, released on April 22. Here are 13 value-based care transactions shaping the industry, according to VMG Health.  Payers and retailers  1. In January 2024, Cigna announced the sale of […]

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Lab execs sentenced to prison for physician kickback scheme 

Two former laboratory sales executives have been sentenced to federal prison for their involvement in a physician kickback scheme, according to an April 29 news release from the Justice Department. What happened? Who else is involved?

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Rhode Island to fast track Medicaid pay review following physician group closure 

Following the closure of primary care group Anchor Medical Associations, Rhode Island Governor Dan McKee brought forth several initiatives aimed to address provider shortages, low reimbursement rates and rising healthcare costs, The Newport Daily News reported April 29.  Here are five things to know:  1. Earlier this month, Providence-based Anchor Medical Associates announced it will […]

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Why Medicare pay can’t keep pace with rising practice costs: 10 notes

The American Medical Association is advocating for physician reimbursements to be tied to the Medicare Economic Index, a measure developed in 1975 to track annual changes in physicians’ operating costs, according to a recent report from the organization.  Here are 10 things to know:  1. When the Medicare Fee Schedule was introduced in 1992, the […]

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Former practice owner sentenced for fraud, money laundering

The former owner and operator of Pain Medicine of York (Pa.) was sentenced to 42 months in federal prison and ordered to pay nearly $3 million in restitution for his role in a scheme involving medically unnecessary urine drug tests for opioid patients, according to an April 24 news release from the Justice Department. What […]

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Physicians balk at Optum’s loan repayment demands following Change hack

In the wake of the Change Healthcare cyberattack, the American Medical Association is calling on Optum to adopt a more flexible approach to loan repayment for affected physicians. Here are five things to know:  1. On April 11, AMA CEO and Executive Vice President James Madara, MD, formally addressed Optum Insight CEO Roger Connor in […]

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Physician incentive agreements hit $50K 

Physicians’ average bonus was $50,000 per year and 63% reported receiving incentive bonuses, according to Medscape’s Physician Compensation Report 2025. Medscape surveyed 7,322 physicians in 29 specialties from Oct. 3, 2024 to Jan. 15, 2025.  The breakdown of factors affecting incentive bonuses include:

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