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CMS adds physician owner waiver for Stark law
CMS added a Stark law waiver for physician owners of independent free-standing emergency departments that served Medicare patients during the COVID-19 pandemic, according to an article written by three attorneys from the firm McDermott, Will & Emery and published in Lexology on June 2. -
The 20 largest payers by claims
California-based Kaiser Permanente Health Plans is the largest payer in the U.S., covering about 9,257,115 patients and incurring $48.19 billion in claims, according to data published Feb. 20 by Definitive Healthcare. -
'They don't really know who we are': Why Texas legislators are being hostile to ASCs
Texas ASC leaders are seeing a growing amount of hostile state legislation. -
Behind Texas' 'unfriendly legislative session' to ASCs
Texas' price transparency laws are burdening ASCs, many leaders say. -
Why some physicians are breaking up with Medicare
Sixty-five percent of physicians plan to continue treating Medicare and Medicaid patients, according to Medscape's "Physician Compensation Report 2023," a 6 percent decrease from last year's report. -
Prior authorizations & ASCs: 5 notes
Here are five updates about prior authorizations that ASCs need to know: -
Key Sessions at Becker's Annual Spine, Ortho, and Pain Driven ASC Conference 2023
I always attribute my journey in the healthcare industry to a desire to follow in my father's footsteps. In 1998, I founded Medi-Corp to provide tailored revenue cycle management (RCM) solutions for the anesthesia and pain management industry. -
How CMS' reimbursement policies have helped, hurt ASCs in 2023
CMS' policies have the power to turn the tide of the surgery center industry. Here is how those policies have both helped and hurt ASCs in 2023. -
How much are healthcare administrators paid?
Although the mean annual wage among healthcare administrators is $122,420, that can vary based on factors including experience and practice setting, according to the most recent Bureau of Labor Statistics occupational employment statistics survey. -
5 payer updates to know
Here are five payer updates Becker's has reported on since May 16: -
Payers pushing procedures to ASCs: 3 notes
Here are three notes pointing to payers pushing procedures to ASCs: -
6 prior authorization updates for ASC leaders
Here are six prior authorization stories Becker's has reported on since May 11: -
UnitedHealthcare policy could push procedures to ASC setting
UnitedHealthcare’s 2023 site-of-service policy, which went into effect April 1, could push procedures to the ASC setting. -
ASCs could be payers' big ticket to growth: 5 notes
Payers are continuing to look at ASCs as a way to cut costs, leaders said at a March 22 California Ambulatory Surgery Association summit with payers and industry stakeholders. -
What happens if ASC reimbursement issues are not addressed?
While the ASC industry as a whole has opportunity for growth, Raghu Reddy, chief administrative officer of Cumberland-based SurgCenter of Western Maryland, is concerned about the lack of accountability for payers. -
Why ‘next-generation analytics’ are essential for today’s ASCs
The growing number of ASCs that choose to outsource their billing have options. ASC billing companies usually offer similar services and promise similar results like endto-end revenue cycle management, strengthened bottom-line performance and increased efficiency. These are all important deliverables for an ASC billing company and should be on the list of what a surgery center expects as the bare minimum when choosing a billing partner. -
US sues surgeon over alleged 1,000+ fraudulent claims
The U.S. sued a plastic surgeon formerly of Tri-State Specialists in Sioux City, Iowa, for violating the False Claims Act. -
The growing danger of shrinking ASC reimbursements
ASC reimbursements in many markets are not keeping up with the rising cost of inflation and general costs of living. -
National Medical Billing Services rebrands to nimble solutions
National Medical Billing Services rebranded to nimble solutions to align with its core values of agility, innovation and client-centricity. -
What PAs are paid per hour in all 50 states
Washington offers physician assistants the highest hourly mean wage, according to the most recent Bureau of Labor Statistics occupational employment statistics survey.
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