Lenexa, Mo.-based Minimally Invasive Surgery Hospital has filed a lawsuit against Cigna, alleging the insurer failed to pay $1.34 million in claims, Kansas City Business Journal reported March 27. . What happened? Becker’s has reached out to Cigna and will update this story if more information becomes available.
The post Surgical hospital sues Cigna for $1.34M in claims appeared first on Becker’s ASC.
Prior authorization rates are increasing at ASCs, according to HST Pathways’ latest “State of the Industry Report.” The report surveyed 590 ASCs in 47 states. Here are five more insights to know: 1. In 2024, 46% of cases completed preauthorizations, up from 42% in 2023. 2. Only 24% of cases that required a preauthorization in […]
The post ASC prior authorizations continue to rise appeared first on Becker’s ASC.
A federal jury has convicted a Kentucky physician, among other parties, for his role in a scheme to defraud Medicare and Kentucky Medicaid via Kentucky Addiction Centers, according to a March 26 news release from the Justice Department. What happened? What’s next?
The post Physician among those indicted in $8M fraud scheme appeared first on Becker’s ASC.
ASCs are seeing a slight increase in case cancellations, averaging a 21% cancellation rate in 2024 — up from 20% in 2023, according to HST Pathways’ latest “State of the Industry Report.” Here are four more insights: 1. Seventy-seven percent of healthcare services using text messaging saw improved outcomes. 2. ASCs collected 51% of expected […]
The post ASC cancellation rates tick up appeared first on Becker’s ASC.
A March 14 MedPAC report found that while certificate-of-need laws are a major factor in ASC development, other state-specific factors, such as healthcare payment models and demographics, can blunt their effects. Here are five things to know certificate-of-need laws and ASCs, according to the report: 1. More states are moving to change their certificate-of-need laws. […]
The post The certificate-of-need anomaly appeared first on Becker’s ASC.
The Alabama Board of Medical Examiners has proposed significant changes to regulations surrounding office-based surgeries in Alabama, according to an article by law firm Burr & Forman published in JD Supra March 24. Here are 10 things to know about the proposed changes: 1. If passed, the new rules would repeal and replace existing regulations […]
The post Alabama weighs new rules for in-office surgeries: 10 things to know appeared first on Becker’s ASC.
Medicaid is under scrutiny as Republican lawmakers eye big healthcare budget cuts for this year. Five ASC leaders joined Becker’s to discuss how they’re preparing for these cuts. Question: With potential Medicaid cuts on the horizon, how concerned are you about their impact on ASCs, and what steps are you taking to prepare? Shakeel Ahmed, […]
The post ASCs brace for impact of Medicaid cuts appeared first on Becker’s ASC.
Extracapsular cataract removal with intraocular lens implantation is the most commonly billed Medicare procedure at ASCs, according to the latest report from the Medicare Payment Advisory Commission. Here are the 20 most commonly billed ASC procedures and their percentage of total volume: Procedure 2023 percent of volume Extracapsular cataract removal with intraocular lens implant insert […]
The post ASCs’ 20 most common Medicare procedures appeared first on Becker’s ASC.
A law passed in New York last year sought to prohibit medical practices from requiring patients to sign consent-to-pay forms before receiving treatments or discussing costs. But state officials, patient advocates and health professionals remain embroiled in a “tug-of-war” over the policy, according to a March 20 report from KFF Health News. Here are 10 […]
The post The ‘tug-of-war’ over patient billing in New York appeared first on Becker’s ASC.
Emeryville, Calif.-based, physician-owned Vituity has agreed to pay $8.75 million to settle a class action lawsuit alleging mismanagement of its 401(k) plan, including excessive fees and imprudent investments, according to court documents accessed by Becker’s. What happened? What’s next?
The post Physician-owned group to pay $8.75M to settle 401(k) excessive fee suit appeared first on Becker’s ASC.
