Sponsored by nimble solutions | Contact us
-
'This is a slap in the face to physicians': Reactions to CMS' pay cut proposal
Physicians and patients alike may face challenges due to CMS' suggested 3.34 percent conversion factor decrease from its proposed Medicare physician fee schedule for 2024. -
2 Florida men plead guilty to $67M Medicare fraud scheme
Two Florida men have pleaded guilty for their roles in a Medicare fraud scheme in which they submitted more than $67 million in false claims for unnecessary genetic testing and durable medical equipment that were procured with kickbacks. -
UnitedHealth's ASC strategy: 4 earnings call notes
UnitedHealth's new site-of-service policy is in part driven by the cost savings incurred by ASCs, executives said in a July 14 second-quarter earnings call transcribed by Seeking Alpha. -
'Our healthcare system is a travesty': Physicians fed up with CMS' proposed pay cuts
CMS suggested a 3.34 percent conversion factor decrease in its proposed Medicare physician fee schedule for 2024, which was released July 13. -
CMS doesn't plan to add new non-dental procedures to ASCs next year
The 2024 Hospital Outpatient Prospective Payment System proposal released July 13 would only add 26 dental surgical codes to the ASC payable list next year. -
3 major proposals from CMS that could shape the industry
Here are three pitches from CMS that Becker's has reported on since July 10 that could change the healthcare industry: -
CMS floats 3.34% physician pay cut
CMS is floating a 3.34 percent conversion factor decrease in its proposed Medicare physician fee schedule for 2024 released July 13. -
ASCs get 2.8% pay bump in CMS' 2024 proposal: 5 details
CMS pitched a 2.8 percent average rate increase for ASCs next year in the 2024 hospital outpatient prospective payment system, released July 13. -
California physician, practice to pay $11.4M fraud settlement: 5 details
Sacramento, Calif.-based Lags Spine & Sports Center along with its owner and medical director will pay millions of dollars to resolve false claims allegations, according to a Justice Department news release. -
ASCs want higher reimbursements now: 5 leaders' thoughts
For many ASCs, cost pressures persist and payers haven't adjusted to reflect rising costs. -
Physician sues Indiana health system over noncompete contract
Pediatric intensivist David Lankford, DO, is suing Fort Wayne, Ind.-based Lutheran Health Network, his former employer, to get out of his noncompete agreement, Indiana Public Media reported July 10. -
3 Stark law updates changing the healthcare landscape
Here are three Stark law updates Becker's has reported on since June 6: -
Largest physician groups based on Medicare charges
HCA Florida Healthcare Physicians is the largest physician group based on the amount of its Medicare charges, which reach over $6 billion annually, according to June 2023 data sent to Becker's from Definitive Healthcare. Editor's note: Data comes from the CMS Provider Utilization and Payment Data: Physician and Other Supplier Public Use File, refreshed once a year in June. Current data represents calendar year 2021, the latest period for which official data exists. -
'Certificate-of-need laws are holding them back': Behind states' recent reform
Certificate-of-need laws, which govern where providers can build facilities, including ASCs, are considered by some as an obstacle to ASC development. -
Florida shrinks Stark law physician supervision requirements
A law has passed in Florida amending the state's Stark law supervision requirements, law firm Holland and Knight wrote in a June 30 JDSupra article. -
Illinois physician fined $1M for fraud scheme
Hinsdale, Ill.-based physician John Greager, MD, has been sentenced to 6 months in prison and fined $1 million for submitting fraudulent claims to Medicare and a private payer. -
How Medicare conversion factors changed over 10 years
Here is how Medicare's conversion factors have evolved over 10 years, according to data from the American Medical Association: -
Connecticut revamps facility fee law
Connecticut Gov. Ned Lamont signed into law a policy that changes the state's facility fees law, according to a July 5 post from JD Supra. -
Cigna in the headlines: 7 updates in the past 60 days
Cigna, one of the largest payers in the U.S., surpassed investor expectations by posting a first quarter revenue of $1.3 billion. -
2 physician specialties that saw pay dives
Two physician specialties saw pay declines between 2021 to 2022, according to a new survey from the American Medical Group Association.
Page 14 of 93