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Top No Surprises Act CPT code disputes
Many healthcare leaders cite the No Surprises Act's independent dispute process as an obstacle to care — HHS has received more than 90,000 claims since launching the independent dispute resolution portal in April. -
2 Tennessee ASCs removed from BCBS network
Blue Cross Blue Shield of Tennessee has ended its relationship with Memphis-based Methodist Le Bonheur Healthcare, and two ASCs are affected, local ABC affiliate ABC24 reported Jan. 5. -
No Surprises Act in 2023: 10 things to know
The No Surprises Act, aimed to protect patients against balance billing and create cost transparency, took effect Jan. 1, 2022, and the law has shifted how many physicians and ASCs provide care. -
CMS in the last year: 5 leaders weigh in
Here's what five ASC leaders had to say about CMS in the last year: -
What ASCs need to know about prior authorization
Here are 12 updates in the last year about prior authorizations, one of the biggest burdens for ASC leaders. -
FTC could ban noncompetes with new rule: What ASCs need to know
Noncompete agreements could be banned with a new proposed rule from the Federal Trade Commission. -
The ASCs that faced opposition in 2022
Here were seven ASCs that faced opposition in 2022: -
ASC ownership is 'paramount' to success: 4 thoughts on ownership
Four ASC leaders joined Becker's to discuss their thoughts on ASC ownership. -
ASC reimbursement rates shouldn't be based on ownership, leader says
According to Dennis Fliegelman, principal consultant at West Lake Village, Calif.-based ARA Financial Services, outpatient reimbursement should be based on clinical rationale rather than ownership structure. -
Stark Law: What ASC leaders need to know in 2023
Becker's has reported on three Stark Law changes and considerations in 2022. Here's what ASC leaders need to know going into 2023: -
Why this ASC leader questions CMS' 'methodology'
Dennis Fliegelman, principal consultant at West Lake Village, Calif.-based ARA Financial Services and former hospital administrator, joined Becker's to discuss how CMS performed in 2022. -
Massachusetts physician indicted for role in healthcare fraud scheme
Brookline, Mass.-based sleep medicine physician Pankaj Merchia, MD, was indicted for his alleged role in a healthcare fraud scheme, the U.S. Attorney's Office said Dec. 20. -
2023 changes to coding and billing can affect reimbursement rates for your practice
Recent rulings from the CMS offer an opportunity to reevaluate specialty mixes, surgical offerings and professional practice offerings against existing managed care contracts to ensure revenue cycle health. -
5 things to know about value-based care going into 2023
Here are five key things to know about value-based care going into 2023: -
Chicago physician charged for role in $9.5M+ kickback scheme
Chicago-based Benjamin Toh, MD, has been charged for his role in a more than $9.5 million healthcare fraud scheme, the Justice Department said Dec. 14. -
Illinois practice, ASC launches health plan
Springfield (Ill.) Clinic, a multispecialty physician practice with an ASC, launched a health plan, according to a Dec. 8 report from the Illinois Times. -
'The standard of medicine in this country will continue to decline': 4 leaders on reimbursements
Here are four leaders' thoughts on reimbursements: -
Cigna's profits up 70% in Q3 and 3 more company updates
Here are four Cigna updates reported on by Becker's since Oct. 21: -
Justice Department to appeal the ruling that cleared the UnitedHealth-Change merger & 5 more updates
Here are six updates from UnitedHealthcare, one of the largest payers, since Nov. 17: -
Physician pay in the last 5 years
Here's how much physicians were paid on average over the last five years, pulled from Medscape's physician compensation reports:
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