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ASCs in the South earn the most revenue
Southern ASCs earn the most revenue in the country, according to VMG Health's "Multi-Specialty ASC Benchmarking Study" for 2022. -
'Rogue surgeon' seeks lawsuit dismissal; US attorneys say no
The U.S. attorney's office asked a federal judge not to dismiss a whistleblower lawsuit against the University of Pittsburgh Medical Center and one of its top surgeons, Pittsburgh Post-Gazette reported March 10. -
12 physicians sentenced to prison for $250M billing fraud
Twelve Michigan- and Ohio-based physicians were sentenced March 9 to prison for their roles in a scheme to perform and bill for unnecessary procedures in exchange for opioid prescriptions. -
Visa, Mastercard to hike merchant fees in April
Two major credit card companies plan to increase merchant fees, according to The Wall Street Journal. -
New York gastroenterologist pleads guilty to $3M billing fraud: 3 details
A gastroenterologist in Central Islip, N.Y., pleaded guilty March 7 to billing Medicare for millions of dollars for medical procedures that weren't performed, according to the Justice Department. -
Meet the all-cash ASC with over 10 years of price transparency success
The Surgery Center of Oklahoma in Oklahoma City is leading the charge in ASC price transparency with its all-cash model, according to a March 4 D Magazine report. -
55% of total collections at ASCs come from commercial payers
Commercial payers account for 55 percent of total collections at ASCs, according to VMG Health's "Multi-Specialty ASC Benchmarking Study" for 2022. -
How payer mix for ASCs stacks up
Commercial payers account for an average of 44 percent of total cases in ASCs, according to VMG Health's "Multi-Specialty ASC Benchmarking Study" for 2022. -
7 CMS updates
CMS has sent about 342 warning notices to hospitals found noncompliant with price transparency regulations since Jan. 1, 2021, when the rule went into effect. -
Stalled BCBS deal kicks Texas system's ASCs out of network
Blue Cross Blue Shield of Texas customers no longer have in-network access to physicians and facilities of Houston-based health system Memorial Hermann, The Examiner reported March 3. -
79% of providers say prior authorization rules grew in last year
Seventy-nine percent of medical groups say that payer prior authorization requirements increased in the last year, according to a poll conducted by Medical Group Management Association March 1. -
Cost of the 25 most common ASC procedures
Variations of colonoscopies make up three of the 10 most common procedures performed at an ASC, according to data company Definitive Healthcare. -
Cigna in the headlines: 6 updates in the last 30 days
Cigna, one of the country's largest payers, has named two executives in the last month. -
What 4 health insurer CEOs are paid
Health insurer chief executives earn millions of dollars each year while their companies narrow networks and lower pay rates for physicians and ASCs. -
UnitedHealthcare ends paper prior authorization letters
UnitedHealth Group has decided to stop mailing prior authorization and clinical decisions to providers on paper. -
Justice Department sues to halt UnitedHealth Group deal and 3 more news items
Health insurers have made several moves to grow their networks, become more efficient and institute new policies over the last few weeks, and one major company was hit with a lawsuit by the Justice Department. -
UnitedHealth in the headlines: 6 updates from the last 30 days
UnitedHealth Group, parent company of ASC management company United Surgical Partners International, reported sizable year-over-year growth in 2021. -
Physician group to pay $100K to resolve kickback allegations: 5 details
Brockton Urology Clinic in Boston will pay thousands of dollars to settle allegations it accepted kickbacks from a hospital for services never provided, according to the Justice Department. -
National Medical Billing Services acquires 2nd company in 2022
National Medical Billing Services, a healthcare revenue cycle management company focused on ASCs, closed its second transaction of the year. -
GI surgeries more common on the coasts than any other region
Gastroenterology claims the highest case mix, on average, among the nation's 6,028 ASCs, according to VMG Health's "Multi-Specialty ASC Benchmarking Study" for 2022.
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