NY accuses ASCs of collecting overpayments

According to a new state audit, four large New York ASCs have been playing some inappropriate financial games. The ASCs are accused of waiving out-of-pocket fees for members of the state-employee health plan, then collecting an estimated $8 million in extra costs by inflating charges to the state's insurance administrator, United Healthcare. The accusation came from a report released by the office of the New York State Comptroller, Thomas DiNapoli. Auditors there, who examined claims from January 2001 through December 2006, are asking UnitedHealthcare to recover the $8 million.

Centers named by DiNapoli as having received overpayments include the Endoscopy Center of Long Island, Garden City, Capital Region Ambulatory Surgery Center, Albany, Digestive Health Center of Huntington and Day-Op Center of Long Island, Mineola.

To find out more about the audits:
- read this Modern Healthcare piece (reg. req.)

Related Articles:
Number of PA ASCs keeps growing, but profits level off. Report
CMS updating rules for ASC Medicare participation. Report
Doctors sue HealthSouth over surgery centers sale. Report
Profits way up for Penn. ASCs. Report
Georgia physicians battle for looser ASC regs. Report
Ohio bill would force hospitals to have 24x7 EDs. Report

Suggested Articles

The profit margins and management of Community Health Group raise questions about oversight of managed care insurers.

Financial experts are warning practices about the pitfalls of promoting medical credit cards to their patients.

A proposed rule issued by HHS on Tuesday would expand short-term coverage, a move Seema Verma said will have "virtually no impact" on ACA premiums.