surprise billing
publication date
CEO
Northwell Health Dinged for $1M After 'Deceptively Advertising COVID-19 Testing Sites,' NY AG Says
New York's largest health system has refunded $400,000 to more than 2,000 patients, and will pay $650,000 in penalties to...
Payer
When a Quick Telehealth Visit Yields Multiple Surprises Beyond a Big Bill
$660 for what was billed as a 45- to 59-minute visit. The insurer paid nothing, ruling it out of network.
Revenue Cycle
Out for Blood? For Routine Lab Work, the Hospital Billed Her $2,400
The hospital charged $9,520.02 for the blood tests and pathology services. The insurer paid $4,310.38, leaving the patient with a...
Revenue Cycle
New CA Law Offers Fresh Protection From Steep Ambulance Bills
California is the 14th state to provide some protection against balance billing for ground ambulance rides.
Revenue Cycle
Providers: Insurers Not Adhering to No Surprises Act Payments
Over 48,000 clinicians polled say payers are manipulating the surprise billing law.
Revenue Cycle
Price Transparency Report Calls Out Major Systems for Noncompliance, 'Backsliding'
Only 36% of hospitals are fully complying with the rule, while forty hospitals exhibited backsliding on compliance, a new report...
Revenue Cycle
No Surprises Act Working as Intended, But Gaps Remain Leaving Patients Vulnerable
Emergency ground ambulance services are one of the blind spots of the regulation that could be improved with federal intervention.
Revenue Cycle
States Step In as Telehealth and Clinic Patients Get Blindsided by Hospital Fees
Hospitals argue that facility fees are needed to pay for staff and overhead expenses, particularly when hospitals don?t employ their...
Payer
Inconsistencies found in 81% of Provider Directories Across Large Health Insurers
Research into directories of UnitedHealth, Elevance, Cigna, Aetna, and Humana uncovers inaccuracies that can lead to surprise billing and delays...
Revenue Cycle
Biden administration urged to take more aggressive steps to relieve medical debt
Stakeholders call for new federal rules that among other things would prohibit debt for medically necessary care from appearing on...
Revenue Cycle
Groups Work to Tackle Surprise Billing Qualms in The Emergency Department
Emergency physician groups outline solutions to improve the surprise billing law in a recently published letter.
Revenue Cycle
Half of Patients with High-Deductible Health Plans Have Received an Unexpected Bill
Findings from a survey reveal shared negative experiences with surprise billing, billing estimates, and medical debt.