Category: ASC News

10 states tackling prior authorization

Since January, 10 states have passed laws reforming prior authorization rules in an effort to reduce care delays and save time for physicians and patients, according to an Aug. 19 report from the American Medical Association. 

How health systems can benefit from ASCs

Historically, ASCs and health systems have seen each other as rivals, competing for market share, where one’s gain often equates to the other’s loss. However, this adversarial relationship does not have to define their future.

2 key issues affecting ASCs

Becker’s connected with Denise Mills, MSN, RN, director of perianesthesia services at Virginia Mason Franciscan Health in Tacoma, Wash., to discuss the industry developments that have proved the most challenging for ASCs.

Physicians' $15M fraud settlement confirmed nearly 10 years later

A circuit court affirmed a $15 million conviction for a physician, who was the former medical director of several hospice care providers, for conspiracy to commit healthcare fraud, Vital Law reported Aug. 15. 

New Jersey physician to pay $300K for Controlled Substances Act violations

A physician in Middletown, N.J., has agreed to pay $300,000 to resolve allegations he did not maintain adequate drug registrations for multiple medical practices he owned or operated, Bucks County Courier Times reported Aug. 16.

Majority of physicians feel employer pressure to upcode services

More than half of physicians have felt pressure from an employer to upcode a service in order to drive up RVUs, according to Medscape’s 2024 “Physicians and RVUs Report,” published Aug. 16. 

Physicians feel the pressure to squeeze in more patients for RVUs

Nearly three in four physicians have felt pressure from their workplaces to squeeze in more patient visits to add RVUs and greater reimbursements for the business, according to Medscape’s 2024 “Medscape Physicians and RVUs Report,” published Aug. 16.&n…

Florida man pleads guilty to $39.5M fraud, physician kickback scheme

A man in Port Richey, Fla., has pleaded guilty for his role in a $39.5 million healthcare fraud case that involved physician kickbacks. 

Hospital bankruptcies ease after 5-year high:  What ASCs need to know

Healthcare bankruptcies have slowed since a five-year high in 2023, when 12 hospitals and health systems filed for bankruptcy, according to a report published Aug. 14 by Gibbins Advisors, a healthcare restructuring consulting firm.

Texas ASC earns Optum recognition

Lubbock, Texas-based Covenant High Plains Surgery Center has earned the Optum Bariatric Center of Excellence designation from the Clinical Sciences Institute.