A Louisiana man pleaded guilty to his role in a $3.8 million fraud scheme involving medically unnecessary medical equipment and physician kickbacks, the Justice Department said in a June 5 news release. What happened? What’s next?
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A Houston pain management physician agreed to pay $390,082 to settle allegations that he submitted false Medicare claims for surgical implantation of neurostimulator electrodes, the Justice Department said in a June 3 release. What happened?
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A House GOP bill, cleared May 22 by a 215–214 vote, would eliminate the pass-through entity tax deduction, a move that many physician groups warn would raise taxes on private medical practices, more than 20 national medical organizations wrote in a May 20 letter. Here are five things to know: 1. Many small and midsize […]
The post A provision of the GOP bill could hurt private practice, physicians say appeared first on Becker’s ASC.
nimble solutions, the leader in surgical revenue cycle management, today announced its acquisition of Contego, a specialized firm focused on revenue optimization for out of-network surgeons, including their ASCs and office-based surgical practices. This partnership expands nimble’s capabilities in supporting surgeons with sophisticated payer strategies—whether in- or out-of-network. By adding Contego’s expertise, nimble reinforces the […]
The post nimble solutions Acquires Contego to Expand Payer Guidance for Providers appeared first on Becker’s ASC.
A federal district court dismissed a lawsuit on May 23 filed by Neurological Surgery Practice of Long Island (N.Y.), ruling that HHS met its legal obligation under the No Surprises Act by creating a method for selecting independent dispute resolution entities, Vital Law reported May 30. What happened? What’s next?
The post Federal court tosses neurosurgery practice’s NSA lawsuit appeared first on Becker’s ASC.
In 2025, CMS finalized a 2.9% pay increase for hospital outpatient and ASC services, based on a 3.4% market update, minus a 0.5% productivity adjustment. Several major insurance companies are following suit, also steering volume toward the outpatient setting, as studies have shown that ASCs can help to reduce costs for patients and payers alike. […]
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A physician in Frisco Texas has agreed to pay $3.5 million to resolve claims he violated the knowingly submitting or causing the submission of false claims for evaluation and management services that were not performed, the Justice Department said in a May 30 news release. What happened?
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Elevance Health, parent company of Blue Cross Blue Shield of Georgia, has filed a lawsuit against billing company HaloMD and two physician groups accusing them of exploiting the federal arbitration system established under the No Surprises Act, according to court documents accessed by Becker’s. Filed May 27, the lawsuit accuses Hospitalist Medicine Physicians of Georgia […]
The post Elevance lawsuit alleges physician groups, billing company gamed IDR process appeared first on Becker’s ASC.
A Kansas City, Mo.-based man has pleaded guilty to a Medicare fraud scheme involving false claims for cancer genetic testing and cardiovascular genetic testing, the Justice Department said in a May 29 news release. What happened? What’s next?
The post Missouri man pleads guilty to $174M fraud scheme involving physician kickbacks appeared first on Becker’s ASC.
The Trump administration recently issued a request for information seeking input on how to improve drug price transparency, alongside other initiatives aimed at increasing price transparency in healthcare. Here are five updates on price transparency: 1. HHS, the Labor Department and the Treasury Department issued their request for information seeking public input on how to […]
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