Category: ASC Coding, Billing & Collections

Medicare ASCs continue to boom

The number of ASCs treating Medicare beneficiaries continued to rise in 2023, with an increasing volume of procedures and spending, according to the latest report from the Medicare Payment Advisory Commission. Here are five key facts to know: 1. The total number of Medicare-certified ASCs increased by 2.5% in 2023, reaching 6,308 facilities. This growth […]

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A ‘move in the right direction’ for price transparency

On Feb. 25, President Donald Trump signed an executive order targeted at boosting healthcare price transparency.  The order directs HHS and the Labor and Treasury departments to “rapidly implement and enforce” healthcare price transparency enforcement regulations. The order refers to regulations that President Trump introduced during his first term, which he said the Biden administration […]

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Are independent ASCs at risk?

The sustainability of independent ASCs is becoming an increasing concern as rising practice costs outpace reimbursement rates.  Many ASCs are feeling the financial squeeze, and some leaders worry about the challenges of maintaining physician ownership, particularly as aging surgeons fail to transition the business to younger physicians. Jeffrey Flynn, administrator and COO of New York […]

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Are independent ASCs at risk?

The sustainability of independent ASCs is becoming an increasing concern as rising practice costs outpace reimbursement rates.  Many ASCs are feeling the financial squeeze, and some leaders worry about the challenges of maintaining physician ownership, particularly as aging surgeons fail to transition the business to younger physicians. Jeffrey Flynn, administrator and COO of New York […]

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Antikickback and ASC ownership: The compliance risks to know 

Medicare-certified ASCs are subject to numerous federal laws — including the Anti-Kickback Statute — that require compliance when bringing in or terminating surgeon owners, according to a recent article in the March 2025 issue of Surgery Business magazine.  Here are six strategies to mitigate these risks, according to the article.  Selecting new surgeon owners ASCs […]

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Medicare payments to ASCs surge nearly $2B since 2018

Medicare payments to ASCs jumped nearly $2 billion between 2018 and 2023, according to a March 13 MedPAC report to Congress.  Here’s a chart illustrating the growth in Medicare fee-for-service payments to ASCs from 2018 to 2023: Year Medicare payments to ASCs  2018 $4.9 billion 2019 $5.2 billion 2020 $5.6 billion 2021 $6 billion 2022 […]

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The highest-paid physician specialties per hour 

Radiologists lead as the highest-paid physicians per hour, according to a recent survey by the American Medical Association. Here are the physician specialties with the highest hourly compensation: Specialty Average hourly pay  Radiology $281.27 Otolaryngology $255.50 Gastroenterology $249.66 Cardiology $240.54 Orthopaedic surgery $238.49 Office-based proceduralist $236.18 Hospital-based surgery $234.96 Dermatology $231.37 Hematology/oncology $216.87 Vascular surgery […]

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