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What Is Medical Billing Compliance?

Compliancy Group

One of the most common ways for providers and healthcare organizations to run afoul is to incorrectly or illegally bill and code for services or supplies. No matter the intent, noncompliance in medical billing can have severe consequences. This mistake resulted in millions of dollars in lost revenue for hospitals.

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Mary Lou Retton’s Explanation of Health Insurance Takes Some Somersaults

Kaiser Health News

Former Olympic gymnast Mary Lou Retton spoke out last week on the NBC “Today” show about what she said was a rare pneumonia that almost killed her and resulted in an expensive, monthlong hospital stay. The ACA does offer subsidies to offset deductible costs for people on the lower end of the income scale.

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A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity

Jane Sarashon

The NIH crafted one for patients enrolled in clinical trials, the American Hospital Association served one up in 1973, and many individual health providers like the University of Pennsylvania Hospital ( aka Penn Medicine) have developed patient bills of rights for consumers entering their hospital systems.

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Her First Colonoscopy Cost Her $0. Her Second Cost $2,185. Why?

Kaiser Health News

So when her primary care doctor suggested she be screened for colorectal cancer in September, Melville dutifully prepped for her colonoscopy and went to New London Hospital’s outpatient department for the zero-cost procedure. Medical Service: A screening colonoscopy, including removal of a benign polyp.

ACA 106
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Doctors’ Offices Morph into Bill Collectors As Patients Face Growing Out-Of-Pocket Costs

Health Populi

This has raised the importance of price transparency, which is based on the hypothesis that if patients had access to personally-relevant price/cost information from doctors and hospitals for medical services, and pharmacies and PBMs for prescription drugs, the patient would behave as a consumer and shop around.

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Weekly Roundup – November 19, 2022

Healthcare IT Today

The digitization wave triggered by the HITECH Act and the ACA has yet to hit long-term care , John learned in his conversation with Bill Charnetski at PointClickCare. Hospitals that struggle to manage capacity and staffing risk bottlenecks , which hinder access to care and negatively impact patient outcomes.

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How the Coronavirus is Reshaping Consumer Trust – The Edelman Trust Barometer Lens and Health Impacts

Health Populi

health consumers’ trust in hospitals fell (partly due to surprise medical bills and patients-as-payors’ financial stress). Edelman’s Trust Barometer has noted a precipitous decline in Americans’ trust in government and media over the past several years. In the past one year, U.S.