Bolstered by the Supreme Court's landmark decision in National Federation of Independent Business v. Sebelius, 132 S.Ct. 2566 (June 28, 2012), the movement toward affiliation as a means of improving ...

A long-fought battle over fair reimbursement rates for both in-network and out-of-network medical coverage has largely pitted payers against providers. Unfortunately, patients are often caught in the ...

Provider-based billing was introduced in 2000 to improve access to care for patients on Medicaid and charity care. At the time, some physician practices limited or refused appointments for these ...

Medicare reimbursement for hospital outpatient services has come under attack in recent years, with a focus on “site neutral” payment policies that would pay hospitals for outpatient services ...

The Bipartisan Budget Act of 2015 (the Act), enacted November 2, 2015, will materially reduce reimbursement for new, off campus hospital outpatient departments (OPD), such as hospital-based clinics.