Sponsored by nimble solutions | Contact us
-
Noncompetes in 2023: 5 things ASCs need to know
Here are five policy moves dealing with noncompetes from the last year that ASCs need to know: -
Meet the 2 'overpaid' CEOs of insurance companies
The CEOs of Cigna and Centene were named some of healthcare's most "overpaid" CEOs, based on the most recent annual report from nonprofit shareholder advocacy group As You Sow. -
Payers are the 'only people making money in healthcare anymore,' administrator says
Suzi Cunningham, administrator of Advanced Ambulatory Surgery Center in Redlands, Calif., joined Becker's to discuss the healthcare trends she's wary of. -
How to handle CMS overpayments: What ASCs, anesthesia providers need to know
Tony Mira, CEO of Anesthesia Business Consultants, laid out the responsibilities of Medicare overpayments in a Feb. 8 blog post. -
Stark Law: 7 key definitions for physicians to know
Law firm Nexsen Pruet laid out five key Stark Law definitions for group physician practices in a Feb. 15 article in JDSupra. -
CMS updates Stark Law self-referral rules: 4 things to know
CMS updated its voluntary self-referral disclosure laws Jan. 23, according to law firm Nexsen Pruet in a Feb. 15 article on JDSupra. -
No Surprises Act payment determinations on hold: 3 things ASCs need to know
Certified independent dispute resolution entities have been instructed to hold all payment determinations under the No Surprises Act. -
UnitedHealthcare vs. CVS Health vs. Cigna: How do the payers' 2022 revenues compare?
UnitedHealthcare, CVS Health and Cigna were the three largest health insurance companies by 2022 revenue. -
Justice Department recovered $1.7B in healthcare false claims settlements in 2022
Of the $2.2 billion in false claims settlements the Justice Department reported in the fiscal year ending Sept. 30, $1.7 billion involved healthcare organizations, the department said Feb. 7. -
Florida physician group to pay $2M to resolve false claims allegations
Orlando-based physician group Florida Cardiology and 10 physicians will pay $2 million to resolve allegations that they submitted inflated claims to Medicare and Medicaid, the Justice Department said Feb. 13. -
Lawmakers reintroduce bill to increase access to ASCs
Four lawmakers have reintroduced legislation to increase Medicare beneficiaries' access to affordable outpatient surgical care. -
5 ways ASCs are keeping costs down
Rising operating costs amid record-breaking inflation is making it difficult for ASCs to meet margins. -
New York bill calls for oversight on private practice transactions
A bill introduced in the 2024 New York State Executive Budget would require regulatory review for certain physician practice and management service organization transactions. -
2023 Payer Trends: Navigating Advanced Payment Models
In today’s rapidly evolving healthcare landscape, ambulatory surgical centers (ASCs) are facing new payer trends that are reshaping the way they are reimbursed for their services. -
Hospitals defy price transparency rules
Most hospitals aren't complying with federal price transparency rules that went into effect January 2021, with few consequences, according to the Fourth Semi-Annual Hospital Price Transparency Report from the PatientRightsAdvocate.org. -
Ohio physician to pay $2.2M for role in drug kickback scheme
Hudson, Ohio-based physician Deepak Raheja, MD, was sentenced to prison and must pay $2.2 million after pleading guilty to his role in a pharmaceutical kickback scheme, the U.S. Justice Department said Feb. 3. -
UnitedHealthcare's 2023 outpatient procedure code changes
UnitedHealthcare made changes to its outpatient procedure group mapping that went into effect Jan. 1. -
The biggest ASC reimbursement shift in 2022
CMS updated ASC payment rates to 3.8 percent, the most critical reimbursement shift in 2022, according to VMG Health's "ASCs in 2022: A Year in Review" report released Jan. 26. -
Top ASC procedures as a percentage of total Medicare payments
The top ASC procedure makes up 20.4 percent of total Medicare payments in 2022, according to a Jan. 26 report from VMG Health. -
BCBS leans into site-neutral payments
The Blue Cross Blue Shield Association released a policy statement backing site-neutral payments as a key focus for saving billions of dollars in the next decade.
Page 27 of 99