Category: ASC Coding, Billing & Collections

Payers steering hospitals to ASCs: 5 unfolding trends

More than 60% of hospitals and health systems report that payers are pressuring them to ASC options for appropriate cases, according to Avanza’s Intelligence Hospital Leadership ASC Survey. Here are four key insights from a recent survey:

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California system, physician group to pay $32M for Stark law allegations 

Fresno, Calif.-based Community Health System and its affiliate Physician Network Advantage have agreed to pay $31.5 million to settle allegations they violated the False Claims Act and Stark law by providing benefits to physicians in exchange for patient referrals, according to a May 14 news release from the Justice Department. What happened?

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Hospital’s stake in ASCs hits all-time high

Hospital and health system ownership of ASCs has nearly doubled in five years, according to Avanza’s Intelligence Hospital Leadership ASC Survey.  In 2024, 82% of hospitals and health systems own at least one ASC, up from 41% in 2019 and 48% just last year. Here are five more statistics from the survey: 1. Nearly all […]

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Indiana physician charged with prescription fraud 

A Greenwood, Ind.-based physician was arrested for allegedly fraudulently prescribing and repurchasing controlled substances, the Daily Journal reported May 13.  What happened? Becker’s has reached out to Windrose for further comment and will update this story as new information becomes available.

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Indiana physician charged with prescription fraud 

A Greenwood, Ind.-based physician was arrested for allegedly fraudulently prescribing and repurchasing controlled substances, the Daily Journal reported May 13.  What happened? Becker’s has reached out to Windrose for further comment and will update this story as new information becomes available.

The post Indiana physician charged with prescription fraud  appeared first on Becker’s ASC.

10 states with the highest physician pay satisfaction

The nation-wide average of physician pay satisfaction is 3.59, according to a new report from recently launched salary transparency platform Marit Health. Marit Health ranked pay satisfaction on a 5-point scale, with 1 representing very dissatisfied with pay and 5 representing very satisfied with pay. Here are 10 states with the highest pay satisfaction: 1. […]

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The latest on the Medicaid pay cut battle 

Lawmakers and federal agencies are proposing sweeping changes to Medicaid with a new bill and a CMS rule. Here are 10 things ASCs need to know on the two moves: House Republicans introduce a bill to implement Medicaid work requirements 1. House Republicans introduced a 160-page bill on May 11 that would implement nationwide Medicaid […]

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Florida chiropractor sues consultant, alleges fraud 

Chiropractor Michael Lea and his company have filed a lawsuit against Multidisciplinary Business Applications, doing business as Concierge Coaches, alleging fraud and breach of contract, according to a May 11 report from the Florida Record What happened?

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Why ASCs not using ChatGPT are falling behind

Nearly half (43%) of medical practices in the U.S. have been using AI at work for over a year, with 36% of practicing physicians, nurses and IT professionals using it to transcribe patient notes.  In addition, several practices are using it for documentation requirements, reimbursement claims and as a virtual scribe.  “In the fast-paced world […]

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5 Stark law developments physicians can’t afford to miss

Here are five recent Stark law updates and reports that physicians need to know: CMS recently issued rare Stark law guidance for physician-owned hospitals CMS recently issued a rare Stark law advisory opinion allowing a physician-owned hospital to relocate eight miles away and add an emergency department while retaining its “whole hospital” exception. Despite changes […]

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