Today's Top 20 Stories
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Cleveland Clinic discovers new bacterium that causes gut immunodeficiency
Researchers at the Cleveland Clinic discovered a bacterium that weakens the immune system in the gut, which could contribute to inflammatory and infectious gut diseases. -
Hospital, lab, physician to pay $7.2M to resolve fraudulent lab testing allegations
A hospital, a laboratory, three lab employees, a referring physician and his office manager will collectively pay more than $7.2 million to settle allegations that they defrauded government healthcare programs through unnecessary or tainted laboratory testing. -
5 Stark law issues physicians are closely watching
Stark law has evolved into a complex framework that continues to challenge physicians, and as regulatory changes and enforcement actions escalate, leaders are grappling with how best to comply with these laws.
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10 things to know about investor interest in Surgery Partners
Brentwood, Tenn.-based Surgery Partners, a leading ASC operator, has caught the eye of investors amid consistent growth and rumors of potential buyouts, according to a recent analysis from Seeking Alpha. -
Claims denials surge: 5 things to know
Nearly 75% of providers report an increase in claim denials, a 31% jump since 2022, according to the Experian Health's "2024 State of Claims" survey. -
Physician, office manager to pay $450K to resolve false claims, controlled substance violations
A physician and office manager in Jackson, Ky., agreed to pay $450,000 to resolve allegations the physician unlawfully prescribed controlled substances and they both defrauded healthcare by soliciting kickbacks. -
ASC chains making waves
While still a largely independent field, consolidation is on the rise in the ASC industry, with a few major players building out substantial ASC chains.
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What 7 leaders have to say about colonoscopies in 2024
Over the last year, there have been several major changes in the field of gastroenterology, especially when it comes to colonoscopies and colorectal cancer screenings. -
Where industry groups stand on site-neutral payments
Site-neutral payments are a policy proposal that many ASC and physician groups have long supported in an effort to even out payments between ASCs and HOPDs. ASCs historically receive lower reimbursements for the same procedures performed in HOPDs, despite no evidence that care quality is different between the two settings. -
The most profitable ASCs in Philadelphia
The Bryn Mawr, Pa.-based reproductive endocrinologist group, Main Line Fertility, was the busiest and highest revenue-producing ASC in the Philadelphia area in 2023, according to a Sept. 26 report from the Philadelphia Business Journal. -
AANA petitions HHS to enforce non-discrimination provision
The American Association of Nurse Anesthesiology has filed a petition with a U.S. district court compelling Xavier Beccera, Secretary of Health and Human Services, to enforce the provider non-discrimination provision of the Affordable Care Act against insurance companies and health plans.
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Hartford HealthCare vies to take control of 2 ASCs
Hartford (Conn.) HealthCare has submitted a proposal to the state's Office of Health Strategy to assume control of two surgical center operators, according to a Sept. 27 report from Hartford Business. -
Millennial physician pay satisfaction, by specialty
Millennial psychiatrists have the highest satisfaction with their pay of all other specialty physicians, according to a recent Medscape report. -
Texas physician to close private practice, join health system
Hoang Ho, MD, will be closing her private practice in Allen, Texas, and joining the Baylor Scott & White Family Medicine Clinic, according to a notice on the practice's website. -
Stark law's future in flux
The future of Stark law is "clouded by uncertainty" after a district court ruled that a false claims lawsuit filed against Thomas Health System cannot be resolved without parties' briefs on the U.S. Supreme Court's recent overturning of the Chevron deference, according to a September blog post from law firm Hooper Lundy. -
How millennial physicians feel about their pay
Medscape laid out how young physicians feel about their pay in its "Millennial Physician Compensation Report 2024," published Sept. 26. -
The healthcare power players physicians are monitoring
From commercial payers to physician organizations, six physician leaders joined Becker's to discuss the healthcare power players they are watching. -
How can physicians get their power back?
Physician autonomy has become a core concern as the workforce faces growing consolidation, with large healthcare systems, corporate entities and insurance companies increasingly influencing clinical decision-making and operational practices. -
7 indicted in alleged $40M Medicare, Medicaid fraud scheme
Seven individuals from five states have been indicted for allegedly defrauding Medicare and Colorado Medicaid of more than $40 million, according to a Sept. 25 report from Fox affiliate KDVR. -
Florida surgeon suspended after fatal liver removal
A Florida surgeon's license has been suspended after he dissected the wrong organ during what was supposed to be a splenectomy Aug. 21, resulting in the patient's death, the Miami Herald reported Sept. 26.
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