Category: ASC News

Discrimination suit filed against New Jersey AmSurg ASC

A former billing manager for AmSurg-affiliated Affiliated Endoscopy Services of Clifton (N.J.) has filed a lawsuit against the ASC alleging employment discrimination under the Americans with Disabilities Act and the New Jersey Law Against Discriminatio…

Practice administrator sentenced for misappropriating nearly $600K 

A former office manager and bookkeeper for a practice in Pawtucket, R.I., has been sentenced to more than two years in prison for misappropriating nearly $570,000 in medical funds and $11,000 in state benefits. 

What ASCs want from CMS: 4 things to know

ASCs leaders and physicians are at a pressure point between rising inflation, increased demand for healthcare services and declining reimbursements from Medicare and private payers. 

Prior authorization and Medicare Advantage: 6 things to know

Nearly 99%Medicare Advantage patients are required to obtain prior authorization for certain services. 

Jury finds BCBS Louisiana shortchanged surgical center by $400M

A jury has determined that Blue Cross and Blue Shield of Louisiana shortchanged a New Orleans-based surgical center by more than $400 million, according to a Sept. 24 report from NOLA.com. 

Most physicians say private payers influence treatment

Thirty-seven percent of physicians say private payers had “quite a bit” or “a great deal” of influence over treatment decisions, according to Medscape’s 2024 “Physician-Private Payer Relationship Report Report.” 

Majority of physicians disapprove of nurses calling themselves 'doctor'

A large majority of physicians, 74%, frown upon nurses with clinical PhDs calling themselves “doctor” according to Medscape’s 2024 “Hot Topics in the Medical Profession Report,” published Sept. 18. 

Pennsylvania system to pay $65M in data breach settlement

Lehigh Valley (Pa.) Health Network agreed to pay $65 million in a proposed settlement of a class action lawsuit affecting 134,000 patients and employees, the Information Security Media Group reported Sept. 23. 

Physician couple sentenced for healthcare fraud

Husband and wife John Johnson, MD, and Paula Johnson, MD, of Hollidaysburg, Pa., were sentenced for conspiracy to defraud the U.S. and healthcare fraud conspiracy.

The regions where physicians are unhappiest with reimbursement rates

Physicians in the mid-Atlantic region of the U.S. are the unhappiest with private-payer reimbursement rates, according to Medscape’s 2024 “Physician-Private Payer Relationship Report,” published Sept. 20.