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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. It pays to know the law and avoid temptations to cut corners.

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Americans Come Together in Worries About Medical Bills, the Cost of Health Care, and Prescription Drug Costs

Health Populi

health citizens are worried about unexpected medical bills (net 74%), the cost of health care services (net 74%), their prescription drug costs (net 55%) and their monthly health insurance premium (net 48%), shown in the second bar chart. economy is “not so good” or “poor.” ” More granularly, most U.S.

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

Kaiser Health News

The ACA also includes subsidies that offset all or part of the premium costs for the majority of low- to moderate-income people who seek to buy their own insurance. residents struggle to afford the deductibles, copayments, or out-of-network fees included in some ACA or job-based insurance plans. of household income. 16 in most states.

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

Health Populi

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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Everything Old Is New Again? The Latest Round of Health Policy Proposals Reprises Existing Ideas

Kaiser Health News

The latest round of rules and legislation comes as the ACA — passed in 2010 — is now cemented in the system. Concerned that people would choose this option instead of more comprehensive and more expensive insurance offered through the ACA, President Barack Obama’s administration set rules limiting the policy terms to three months.

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Two Healthcare Organizations Caught Up in Medicare Fraud Schemes

Compliancy Group

Meeting Medical Billing Compliance Standards Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices.

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Reduced Co-Insurance for Screening Colonoscopies

Medisys Compliance

Section 4104 of the Affordable Care Act (ACA) defined the term ‘preventive services’ to include ‘colorectal cancer screening tests’ and, as a result, it waives any coinsurance that would otherwise apply under Section 1833(a)(1) of the Social Security Act for screening colonoscopies. Background for Reduced Co-Insurance. Reference: [link].