Payers, providers seek leeway on surprise medical bill ban going into effect in 2022
Fierce Healthcare
SEPTEMBER 8, 2021
Payers, providers seek leeway on surprise medical bill ban going into effect in 2022. Wed, 09/08/2021 - 17:13.
The Unconscionability of Emergency Room “Cash Pay” Contracts
Bill of Health
APRIL 25, 2025
It is true that many hospitals may ultimately write off or heavily discount an uninsured patients medical bill through financial assistance programs. In addition, the high-stress environment limits patients ability to comprehend what they are agreeing to. However, patients must apply to receive these benefits.
Medical Billing 
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Data Breaches Reported by WV and CO Healthcare Providers and NJ Medical Billing Administrator
HIPAA Journal
APRIL 8, 2022
Charleston Area Medical Center (CAMC) in Charleston, WV, has recently announced it was the victim of a phishing attack in which the email accounts of some of its employees were accessed by unauthorized individuals. The email accounts were compromised between January 10 and 11, 2022. That review was completed on March 16, 2022.
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Top 5 KPIs to analyze your Medical Billing Services
Medisys Compliance
DECEMBER 19, 2022
This is why tracking key performance indicators for medical billing will take center stage in many clinics. The most significant billing and collections key performance indicators are shown below (KPIs). Think about the KPIs listed below that every practice needs to track by 2022 and beyond: 1. Poor Debt Rate.
Half of the Patients With High-Deductible Health Plans Have Received Surprise Medical Bills
HIT Consultant
JANUARY 27, 2023
Many Patients Report Having a Negative Experience Regarding Billing Estimates and Medical Debt More than 2,000 Americans were asked: A surprise medical bill is a term commonly used to describe charges arising when an insured individual inadvertently receives care from an out-of-network physician.
New Medical Billing Codes You Should Know About
HIT Consultant
MARCH 16, 2023
So, providers need to stay focused on the coding changes as it impacts physician billing revenue cycle substantially. This article shares some insights on the latest coding changes and how physicians can navigate their medical bills to stay financially successful in the modern healthcare industry. 2022, September 9).
The New Year Brings New Protection Against Surprise Medical Bills: What Consumers Need to Know
Center for Health Insurance Reform
JANUARY 7, 2022
As we enter 2022, consumers are now protected from many of the worst surprise medical bills. Continue reading → The post The New Year Brings New Protection Against Surprise Medical Bills: What Consumers Need to Know appeared first on Center on Health Insurance Reforms.
Tax Break for Certain Medical Billing Services in Texas
Healthcare Law Blog
MARCH 1, 2022
Texas HB 1445, which went into effect on January 1, 2022, exempts medical billing services performed before the submission of the relevant insurance claim from state sales tax. The new legislation legally exempts medical billing services from the statutory definition of taxable “insurance services.”
Key Revenue Cycle Trends for 2022 and Beyond
AIHC
MAY 2, 2022
Written by: Melvin Miller, COO Tech, investments, efficiency, patient experience, underpayment recovery, and coding automation are some of the themes that will drive the revenue cycle market momentum in 2022 and beyond. In 2022, we anticipate the continuance of these trends and mega-mergers will be more of a norm than an aberration.
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4 Key Barriers to Prevent Surprise Medical Bills
HIT Consultant
DECEMBER 9, 2021
What You Should Know: A new AKASA survey highlight the challenges hospitals and health systems face when trying to prevent surprise medical bills. Financial leaders at hospitals and health systems ranked the following four key barriers as all high stressors in the push to prevent surprise medical bills: 1.
Bonus Features – October 30, 2022 – 46% of Americans have gone into debt paying medical bills, 41% say retail and virtual care experiences are disjointed, and more
Healthcare IT Today
OCTOBER 30, 2022
A survey from digital health platform Babylon found that 46% of Americans have gone into debt from their medical bills , while 34% are currently struggling to pay their medical and insurance bills. News and Studies.
Patient Financial Experience: 40% of Americans Confused by Medical Bills
HIT Consultant
DECEMBER 16, 2022
. – The survey findings highlight uncertainty looms among patients about what is included in a bill and if they can pay – two factors that drive the most confusion on medical bills. Understanding the Uncertainty Around Medical Bills. 11% found medical bills not confusing at all.
New Study Faults Coding Structures For Increased Medical Billing Costs in U.S.
The Health Law Firm Blog
NOVEMBER 30, 2023
Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. By George F. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.]
New Study Faults Coding Structures For Increased Medical Billing Costs in U.S.
The Health Law Firm Blog
SEPTEMBER 5, 2022
Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. By George F. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.].
Study Blames Coding Structures For Increased Medical Billing Costs in the United States
The Health Law Firm Blog
JANUARY 12, 2024
Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. By George F. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.]
Study Blames Coding Structures For Increased Medical Billing Costs in the United States
The Health Law Firm Blog
OCTOBER 18, 2022
Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. By George F. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.].
New Study Reveals Complex Coding Structures in U.S. For Rise in Medical Billing Costs
The Health Law Firm Blog
DECEMBER 21, 2023
Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. By George F. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.]
New Study Reveals Complex Coding Structures in U.S. For Rise in Medical Billing Costs
The Health Law Firm Blog
SEPTEMBER 26, 2022
Board Certified by The Florida Bar in Health Law A study publicized in August 2022 revealed that the complex coding structures used in the United States drive up medical billing costs. By George F. Indest III, J.D., This helps to make the U.S. one of the most expensive countries for health providers to [.].
Medicare Telehealth Billing Guidelines for 2022
Medisys Compliance
APRIL 8, 2022
Telehealth is witnessed high and low acceptance during COVID-19 pandemic last year, and it might play a key role in care delivery in 2022. CMS has updated the Telehealth Services List to show minor changes due to various activities, such as the CY 2022 MPFS Final Rule and legislative changes from the Consolidated Appropriations Act of 2021.
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New Study Reveals Complex Coding Requirements Are Increasing Medical Billing Costs in the U.S.
The Health Law Firm
SEPTEMBER 7, 2022
Board Certified by The Florida Bar in Health Law On August 3, 2022, a study published by the Health Affairs Journal revealed that complex coding structures in the United States are driving up medical billing costs. By George F. Indest III, J.D.,
Weekly Roundup – November 19, 2022
Healthcare IT Today
NOVEMBER 19, 2022
Read more… Reducing Confusion Eases Medical Billing Stress. Fewer barriers to patient data and expanded telehealth and remote monitoring have all helped bridge the gap between patients and providers. The average Explanation of Benefits is crammed with so much information that most people don’t understand them.
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Revised Medicare Guidelines for Lung Cancer Screening Using LDCT
Medisys Compliance
JUNE 27, 2022
The Centers for Medicare and Medicaid Services (CMS) has announced a shift in its eligibility criteria for coverage of lung cancer screening using low-dose CT (LDCT), with implementation date of October 3 rd , 2022. If you need any assistance in billing for Medicare, contact us at info@medisysdata.com/ 302-261-9187.
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2022 Coding Updates for Principal Care Management (PCM)
Medisys Compliance
APRIL 22, 2022
Medisys Data Solutions is a leading medical billing company providing billing and coding services for various medical billing specialities. If you need any assistance in Medicare medical billing for your practice, contact us at info@medisysdata.com/ 302-261-9187.
Weekly Roundup – September 17, 2022
Healthcare IT Today
SEPTEMBER 17, 2022
Medical billing analytics startup AESOP Technology raised a $2.95 Virtual primary care company 98point6 announced a $20 million investment to scale its new technology offering for ambulatory care. Real-world analytics platform P urpleLab raised $40 million in Series B funding. million series pre-A round.
Improving Denial Management Process in 2022
Medisys Compliance
JANUARY 28, 2022
For improving the denial management process, you need to understand the different types of medical billing denials, pinpoint the most common billing problems and take suitable steps to avoid them. We can help you establish medical billing benchmarks, reduce backlogs, identify root causes of denials and reduce AR days.
The Patient as Consumer and Payer – A Focus on Financial Stress and Wellbeing
Health Populi
MAY 30, 2022
Add on top of these significant stressors the need to deal with medical bills, which is another source of stress for millions of patients in America. told the Gallup Poll in April 2022 that their financial situation has eroded in the past year, up to 1 in 2 people which is a statistic we haven’t seen since the Great Recession of 2008.
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Top 6 Medical Practice Management Tips for 2022
NCG Medical Blog
FEBRUARY 23, 2022
The first couple months of each year present an important time to reflect on how the previous year went for your medical practice and what areas you can optimize or streamline for the future.
Medicare Fee Schedule Changes in 2023
Medisys Compliance
DECEMBER 23, 2022
The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. On November 1, 2022, the Physician Fee Schedule final regulations were published, and they will take effect on January 1, 2023. Principles of PFS. Changes in RUC value for ophthalmic operations.
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Consumers’ Growing Use of Portals and Apps: People Embracing Their Patient Journeys
Health Populi
OCTOBER 26, 2023
patients viewed their laboratory test results online in 2022. As of 2022, three in four consumers were offered online access to their medical records by a health care provider or health insurance plan, and well over one-half accessed their medical record or portal — growing by 50% over the two years, 2020 to 2022 (from 38% to 57%).
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Vanderbilt University Medical Center Investigated by OCR over Disclosure of Transgender Patients’ Medical Records
HIPAA Journal
AUGUST 14, 2023
VUMC provided the medical records of transgender patients to AG Skrmetti after receiving civil investigative demands for the data as part of an investigation into potential medical billing fraud. The medical record disclosures have been condemned by many members of the LGBTQ+ community.
Omaha pediatric hospital achieves success with comprehensive digital front door strategy
Healthcare It News
MARCH 10, 2023
Children’s Hospital & Medical Center in Omaha, Nebraska, is the only hospital in the state of Nebraska exclusively dedicated to pediatric care, serving a five-state region. In 2022, it nearly doubled its capacity with the opening of the Hubbard Center for Children, adding 100 beds for a total of 243 beds.
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Logan Health Facing Class Action Lawsuit Over Data Breach
HIPAA Journal
MARCH 11, 2022
The data breach in question was reported by Logan Health in February 2022, with its investigation confirming unauthorized individuals had access to its system between November 18, 2021, and November 22, 2021.
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Lake Charles Memorial Health System Cyberattack Affects Almost 270,000 Patients
HIPAA Journal
DECEMBER 29, 2022
The Louisiana healthcare system said suspicious activity was detected by its security team on October 21, 2022, and steps were taken to contain the activity and investigate a potential breach. FoundCare said it determined on October 18, 2022, that files in the email account contained patient data.
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Bonus Features – October 29, 2023 – 66% of patients prefer email or text for reminders about medical bills, 94% of clinicians said lack of timely access to insights within EHR impacts patient care, and 28 more
Healthcare IT Today
OCTOBER 29, 2023
News CMMI released the 2022 performance results for the direct contracting value-based care model , which has since been redesigned and renamed the ACO REACH Model. All told, participating entities achieved net savings of more than $484 million.
The Unbearable Heaviness of Inflation: Will Consumers’ Financial Stress Erode Their Health?
Health Populi
JUNE 23, 2022
An hour after the Morning Consult session, I brainstormed the topic of consumers-as-payers of medical bills and prescription drugs with GoodRx strategy leaders. This consumer research was conducted in January 2022 — well before a gallon of gas cost an average of $4.98 in Hong Kong the week of 20 June 2022).
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Logan Health Medical Center Cyberattack Affects More Than 213,000 Patients
HIPAA Journal
FEBRUARY 23, 2022
Third-party forensic investigators were retained to conduct an investigation to determine the nature and scope of the attack and on January 5, 2022, it was confirmed that certain files on its systems that contained patient information had been accessed. The types of information in the compromised files varied from patient to patient.
Only in America: Medical Debt Hits High Income and Insured People, KHN and NPR Report
Health Populi
JUNE 20, 2022
By age group, people 30 t0 49 years of age were more likely to have fallen into medical debt: think Sandwich-generation adults with children and aging parents, seriously financially stretched and stressed. Here’s an additional detail showing the mainstream, Main Street nature of medical debt in the U.S.:
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Logan Health Proposes $4.3 Million Settlement to Resolve Class Action Data Breach Lawsuit
HIPAA Journal
JANUARY 25, 2023
Logan Health, formerly Kalispell Regional Medical Center, is a 622-bed health system based in Kalispell, MT, which operates six hospitals and more than 68 provider clinics in the state. The breach was detected on November 22, 2021, and the investigation confirmed that access to its systems was gained on November 18, 2021.
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Multiple Vulnerabilities Identified in OpenEMR Health Record and Practice Management Software
HIPAA Journal
JANUARY 30, 2023
OpenEMR is used by healthcare organizations around the world for recording and managing sensitive patient data, and patients used the software for scheduling appointments online, communicating with their healthcare providers, and paying medical bills. they should update the software immediately.
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Transparency Ecosystem in Healthcare
Healthcare IT Today
SEPTEMBER 7, 2022
According to a 2022 Nielsen survey, consumers indicate shifting priorities as COVID-19 transitions from a pandemic to an endemic presence in the United States. In an economy where inflation is impacting fuel, housing, and grocery prices, an unexpected medical bill can go from merely unforeseen to flat-out unfeasible for some.
Health-ISAC Report Explores Current and Emerging Cyber Threats to the Healthcare Sector
HIPAA Journal
MARCH 30, 2023
The report, a collaboration between Health-ISAC and Booz Allen Hamilton Cyber Threat Intelligence (CTI), identified the key threats to the healthcare sector and is based on responses to a November 2022 survey of executives across Health-ISAC, CHIME, and the Health Sector Coordinating Council.
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VUMC Faces Lawsuit Over Disclosure of Medical Records of Transgender Patients to State AG
HIPAA Journal
JULY 25, 2023
Vanderbilt University Medical Center (VUMC) in Nashville, TN, has confirmed that the medical records of transgender patients have been provided to Tennessee Attorney General, Jonathan Skrmetti, in connection with an investigation of medical billing fraud.
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The No Surprises Act Demands Real-Time Regulatory Compliance
HealthIT Answers
NOVEMBER 14, 2023
By Eric Demers - In 2022, 20% of adults said they or their family received an unexpected medical bill. A bipartisan effort to protect patients from unexpected healthcare expenses, the NSA minimizes surprise billing and makes. The No Surprises Act, which went into effect last year, is better late than never.
OCR Announces 11 Further Financial Penalties for HIPAA Right of Access Failures
HIPAA Journal
JULY 18, 2022
Two cases involved the withholding of a patient’s medical records due to outstanding medical bills. A patient’s right to obtain a copy of their medical records is not conditional on whether payment for medical services has been made in full. Untimely Access.
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