• CMS' ASC inflation roller coaster: 10 years of updates

    The net inflation adjustment for ASCs is 2.9% in 2024, nearly a full percentage point higher than the average since 2023, according to the VMG Health 2025 Healthcare M&A Report.
  • Private practices cashing in on ancillary services

    Seventy percent of private practices that introduced ancillary services found them both easy to implement and financially rewarding — with some seeing revenue increases in as little as one month, according to a recent survey from healthcare software company Tebra published Jan. 30.
  • The hidden costs of no-shows: How much revenue private practices are losing

    Thirty-one percent of private practice physicians lose more than $7,501 annually from missed appointments, according to a survey from healthcare software company Tebra published Jan. 30.  
  • Physicians brace for Medicaid cuts

    House Republicans have proposed sweeping changes to healthcare policies – including major Medicaid cuts — and five physicians joined Beckers to discuss their thoughts on the policy changes. 
  • The new Stark law threat for anesthesia providers: 10 notes

    The shift to value-based care involves financial incentives for anesthesia practices that could conflict with existing fraud and abuse laws, such as Stark law, according to a Jan. 24 report from law firm Whiteford in JDSupra.
  • Where prior authorization stands in 2025

    Many physicians and practices say prior authorization is a major administrative burden and have urged lawmakers to institute reforms to the process for commercial and public payers.
  • Surgeons and reimbursement incentives: 10 things to know

    A Jan. 26 report published in Forbes examines two new studies regarding how financial incentives affect surgeons' real-time decision-making. 
  • 4 steps to a better outlook for payer contract management – and accelerated financial health

    Picture this: a skilled surgeon has decades of experience in their specialist field and a long track record of making the crucial decisions that save lives. But they’re heading into surgery without a full patient history or anywhere near an acceptable understanding of what caused the patient’s rapidly deteriorating condition. Seem unlikely?
  • Driving Revenue Cycle Optimization and Peak Financial Performance in ASCs with a Total RCM Solution

    Ambulatory surgery centers (ASCs) have diverse processes to navigate, from front-end tasks such as collecting demographic information and verifying insurance, to coding and billing compliance in an ever-changing regulatory environment. In the complex world of surgical revenue cycle management (RCM), both standalone and hospital-affiliated ASCs need a comprehensive RCM solution to achieve peak financial performance and operational excellence.
  • Republicans plan major healthcare cuts: 10 things to know about Trump's 1st day

    House Republicans have proposed sweeping changes to healthcare policies and other federal programs, marking a significant shift in priorities under President Donald Trump. 
  • ASC deploys high-touch patient pay strategy

    Many ASCs across the U.S. are seeing patient copays increase for outpatient surgery, and collecting upfront from patients is tough. But it's necessary to keep the ASC running smoothly.
  • Who gets hurt when physician reimbursements decline?

    On Nov. 1, CMS finalized a 2.83% physician pay cut for its 2025 Medicare hospital outpatient prospective payment system and ASC payment system, marking the fifth consecutive year of cuts to physician reimbursements. 
  • Procedures that will drive ASC growth in 2025

    Here are what three ASC leaders told Becker's they see coming down the pipeline as procedures continue to migrate from the hospital to ASC setting in 2025.
  • An uncertain era for Stark law: 12 updates in 2024

    The healthcare industry is entering a transformative era as major legal and regulatory frameworks, including the Stark Law, face significant updates and reinterpretations.
  • Aetna sues physician group alleging fraud scheme involving NSA's IDR process

    Aetna has filed a lawsuit against Radiology Partners and Mori, Bean and Brooks, RP's Jacksonville, Fla.-based affiliate, alleging a fraud scheme that resulted in overpayments totaling tens of millions of dollars, according to court documents obtained by Becker's. 
  • 5 payer moves that shook the ASC industry in 2024

    In 2024, major developments in insurance and healthcare policies have sparked significant changes affecting ASCs and physicians. 
  • 5 numbers on prior authorization in 2024

    Here are five numbers for ASC leaders and physicians to know about prior authorization in 2024:
  • California hospital to pay $10.25M for false claims, physician self-referral scheme

    Oroville (Calif.) Hospital agreed to pay $10.25 million to resolve false claims allegations stemming from medically unnecessary inpatient hospital admissions, a kickback and physician self-referral scheme and erroneous diagnosis code use.
  • 26 payer moves impacting ASCs in 2024

    Here are 26 moves by payers for ASC leaders and physicians to know in 2024:
  • What's going on with prior authorization?

    Here are three recent updates on prior authorization for ASC physicians and leaders to know:

Articles We Think You'll Like

 

Featured Whitepapers

Featured Webinars