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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].

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

Kaiser Health News

The former generally incurs no cost to patients under the ACA; the latter can generate bills. Remind your provider that the government’s interpretation of the ACA requires that colonoscopies be regarded as a screening even if a polyp is removed. Do you have an interesting medical bill you want to share with us?

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‘Free’ Screening? Know Your Rights to Get No-Cost Care

Kaiser Health News

Since late 2010, when this provision of the ACA took effect, many patients have paid nothing when they undergo routine mammograms, get one of more than a dozen vaccines, receive birth control, or are screened for other conditions, including diabetes, colon cancer, depression, and sexually transmitted diseases. The ACA does set parameters.

Medicare 102
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Melanie Fontes-Rainer Appointed Director of the HHS’ Office for Civil Rights

HIPAA Journal

Prior to joining OCR, Fontes Rainer served as Counselor to Secretary Becerra and provided strategy guidance on issues pertaining to civil rights, patient privacy, reproductive health, the Affordable Care Act (ACA), competition in healthcare, equity, and the private insurance market.

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Key Factors in Choosing Oncology Billing Company

Medisys Compliance

It is crucial to verify that the billing company is adhering to industry standards, such as HIPAA (Health Insurance Portability and Accountability Act) regulations, which protect patients’ medical information.

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

Health Populi

This gets to the affordability adjective, that first “A” in the acronym, “ACA.” One-third of people was worried about what they would owe in the medical bill, and just over one-fourth of people were concerned about exposure to COVID-19.

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Only in America: Medical Debt Hits High Income and Insured People, KHN and NPR Report

Health Populi

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.: