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781. Tony Mira: OIG to Anesthesia Practices: Think Again Before You Pay Your ASC for the “Franchise”
... The anesthesiology group that requested the Opinion presented two fact patterns: Proposed Arrangement A. The anesthesiologists would pay the physician-owned ASC a per-patient "Management Services" fee ...11 June 2012 -
782. How Do Recent Government Fraud Reports Affect Anesthesiologists and Pain Physicians?
... the Office of the Inspector General and at CMS and its contractors. Prepayment reviews by the Recovery Audit Contractors are on the horizon. The need for anesthesiologists and pain physicians to be ...04 June 2012 -
783. OIG: Anesthesia Arrangements With ASCs Could Lead to Trouble
Two proposed arrangements between anesthesiologists and physician-owned facilities could lead to administrative sanctions, according to a Department of Health and Human Services Office of Inspector General ...04 June 2012 -
784. AAPC Announces Certified Physician Practice Manager Credential
AAPC has announced the CCPM (Certified Physician Practice Manager) credential, according to a release. This advanced certification with supporting training curriculum enables coders, office managers ...30 May 2012 -
785. Will Surgery Centers Fit Into ACOs? Q&A With Craig Garner, CEO of Garner Health
... physician. If successful, it will be difficult to break the inertia of ACOs, and the result will not be favorable for ambulatory surgery centers. ASCs are the antithesis of the ACO, providing a place ...22 May 2012 -
786. 5 Questions Surgery Centers Overlook When Outsourcing ASC Services
Ambulatory surgery centers may turn to outsourcing as a cost-cutting strategy, but experts caution that it is important to ask the right questions of potential vendors to avoid incurring unexpected fees ...17 May 2012 -
787. What the Proposed 60-Day Overpayment Refund Rule Means for Anesthesia Practices
... physicians, to report and refund known overpayments within 60 days, or, for providers that submit cost reports, by the date the corresponding cost report is due. The parameters of this mandate are unclear, ...07 May 2012 -
788. Stark Law – A Flawed Solution to a Flawed Program
... were designed to prevent the appearance of impropriety. The rules contemplated that an errant physician would receive a letter from the appropriate licensing board admonishing, for lack of a more appropriate ...05 April 2012 -
789. New Jersey Proposes to Limit How Much Physicians, ASCs Charge for Outpatient Care
A New Jersey proposal would instate approximately 1,000 price codes controlling how much physicians, surgery centers and hospitals can charge for outpatient treatments for auto accidents, while abolishing ...19 March 2012 -
790. Connecticut Bill Targets Physician Shortage, Recruitment
Connecticut lawmakers are considering a $10 million financial assistance plan to help attract and retain physicians in parts of the state that are experiencing shortages, the Associated Press reports. ...14 March 2012 -
791. Medicare Reworks Billing Statements to Fight Fraud
... than wait to receive a statement in the mail. Related Articles on Business Office / Accounting / HR: Physician Shortage May Provoke Greater Use of Advanced Practitioners Frustration With Insurance, ...13 March 2012 -
792. 10 Evolving Issues for Hospitals, Health Systems, Physicians & ACOs
This article briefly discusses 10 emerging healthcare issues for 2012, focusing principally on hospital and physician issues. 1. Macro 2012 developments. We expect 2012 to be a very interesting year. ...13 February 2012 -
793. What Anesthesiologists Should Know About Medicare Prepayment Reviews
... coverage decision criteria. First Coast proposed withholding payment from the hospital until after it had verified physician documentation. If the hospital were ultimately denied payment, First Coast ...13 February 2012 -
794. Health Insurers Allege Fraud and Kickbacks Against Out-of-Network ASC Providers Who Forgive Patients' Financial Responsibility
... alleging the surgery centers illegally induced its physician investors to refer their patients to the surgery centers with promises that the patients would not have any financial responsibility to the ...10 February 2012 -
795. Publisher's Letter: January/February 2012
... that the top 10 hospitals mergers were valued at $5.6 billion in 2011, up from $3.8 billion in 2010. A recent Price Waterhouse Health Research Institute survey reported 46 percent of physicians are interested ...19 January 2012 -
796. 10 Challenges Surgery Centers Can No Longer Ignore
... remain in business and profitable in 2012 and beyond. 1. Consolidation of hospitals and employing physicians. This is an issue ASCs have seen before, but it is one ASCs need to pay close attention ...18 January 2012 -
797. Improving ASC Billing and Collections: 5 Critical Steps to Take Now
... payment is collected on the front end and the physician's office gets hit with the deductible, the ASC must spend staff time processing refunds. Mr. Orseno recommends ASCs use a credit card authorization ...10 January 2012 -
798. Orthopedic ASC Management: 8 Ways to Stay Ahead of the Game
... and how each person contributes to the success of the office is crucial for building a thriving practice. "There are some physicians who end up having their wives or nurses running the office without ...04 January 2012 -
799. Owner of Houston's Hallco Medical Supply Pleads Guilty to Medicare Fraud
The owner of Houston-based Hallco Medical Supply, a durable equipment provider, has pleaded guilty in connection with a Medicare fraud scheme, according to a Department of Justice news release. Akinsunbo ...30 November 2011 -
800. Michigan Primary Care Physician Sentenced to 10 Years for Fraud
Gwendolyn Washington, MD, a primary care physician based in Southfield, Mich., has been sentenced to 10 years in prison following a conviction for corruption, healthcare fraud and prescription drug trafficking, ...29 November 2011