Category: ASC Coding, Billing & Collections

Why physicians may have misunderstood this Stark law rule for years 

CMS has recently confirmed, through Self-Referral Disclosure Protocol submissions, that the “Payments by a Physician” exception under the Stark law may apply more broadly than many physicians have believed, according to a May 2 blog post from the law firm Hall, Render, Killian, Heath & Lyman. Here are seven things to know: 1. One exception […]

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Leader of $48M fraud scheme involving selling physicians orders sentenced to prison 

Manishkumar Patel was sentenced to 14 months in prison for his role in a $48 million healthcare fraud scheme, according to a May 7 news release from the Justice Department. What happened?

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Some Medicaid cuts dropped from GOP budget plan: 5 things ASCs need to know

House Republicans have recently backtracked on two major proposals to cut Medicaid funding in their budget reconciliation efforts.  Here’s what ASC leaders need to know: 1. Speaker Mike Johnson announced May 6 that proposals to reduce the Federal Medical Assistance Percentage for Medicaid expansion states and to implement per capita caps on Medicaid funding have […]

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‘It’s time to fix this mess’: Physicians call for overhaul of payer practices

Several physician leaders told Becker’s that if they could change one thing to improve their professional lives, it would be the current payer landscape. James McLoughlin, MD, a spine surgeon at Ivy Spine & Orthopedic Specialists in Panama City, Fla., said he envisions a radical realignment of insurers’ priorities.  “I would like to see an […]

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Why hospitals keep losing money on physicians & what they can do about it 

Hospitals are facing a growing financial challenge — they’re losing money on physicians amid the migration to employed models, according to a May 6 article from Kaufman Hall.  Hospitals now lose an average of $306,792 per physician annually, according to the latest Kaufman Hall Physician Flash Report, a 5% increase from the previous year.  The […]

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North Carolina clinic owner settles fraud allegations for $4.7M 

A Kernersville, N.C., clinic owner has agreed to pay $4.7 million to resolve healthcare fraud allegations, according to a May 3 news release from the Justice Department. The payment is part of a consent judgment and is subject to a separate agreement regarding the defendant’s ability to pay. What happened?

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Is the physician exodus slowing down? 5 survey notes

In 2025, 28% of physicians report thinking about leaving the medical profession at least once a week, a 22% decrease from 2024, according to Athenahealth’s 2025 Physician Sentiment Survey. The Harris Poll surveyed 1,001 physicians — consisting of 750 primary care providers and 251 specialists — from Jan. 2 to Jan. 15.  Here are five […]

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Is the physician exodus slowing down? 5 survey notes

In 2025, 28% of physicians report thinking about leaving the medical profession at least once a week, a 22% decrease from 2024, according to Athenahealth’s 2025 Physician Sentiment Survey. The Harris Poll surveyed 1,001 physicians — consisting of 750 primary care providers and 251 specialists — from Jan. 2 to Jan. 15.  Here are five […]

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Only 42% of physicians say their organizations are on solid financial ground

Just 42% of physicians say their organization is on stable financial footing, according to 2025 Physician Sentiment Survey. The Harris Poll conducted the survey between Jan. 2 and Jan. 15, gathering responses from 1,001 physicians — including 750 primary care providers and 251 specialists. Here are five things to know:  1. More than half (56%) […]

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Trump’s 2026 budget plan cuts healthcare spending: 5 things ASCs need to know

President Donald Trump’s fiscal year 2026 budget proposal, released May 2, outlines a $160 billion reduction in non-defense federal spending. Here are five things ASCs need to know: 1. Major cuts to NIH and CDC: The budget proposes nearly halving the budgets for the National Institutes of Health and the Centers for Disease Control and […]

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