The $1.4 trillion omnibus legislative package passed by Congress late Monday includes COVID-19 related relief for physicians, imposes new restrictions on surprise billing, and funds the government through fiscal 2021, which ends Sept. 30. The legislation mitigates budget neutrality cuts that would have slashed physician Medicare payment rates by 10.2% and extends the moratorium on the budget […]
The COVID-19 pandemic continues to send more Utah residents to hospitals. Given the rise in hospital visits, addressing the need for cost transparency and clarity for patients has become more urgent than ever. Surprise Medical bills, a familiar issue, is receiving even more attention and press coverage during this unprecedented time. In a 2019 Kaiser […]
Denials, automation, and surprise billing are perennially tricky & common revenue cycle issues, but new twists on those topics add an extra layer of complexity. When it comes to revenue cycle management, a handful of common revenue cycle issues are nearly always a struggle, year after year. For instance, denials, automation, and surprise billing are […]
As the sun sets on 2019, we look back and reflect on the major news and trends that shaped the revenue cycle this year. From the tumultuous battle over price transparency to the rise of automation and the ushering in of AI, 2019 was a banner year for revenue cycles as they reckoned with a […]
An ad campaign opposing the move is raising eyebrows nationwide. We’re more than halfway into September, but if you’re like me, it feels like 2019 is already over. It doesn’t feel like I’ll have enough time to finish everything I was supposed to before the end of the year. Congress is in the same boat. […]
Physicians work hard to generate revenue, and with slim operating margins, they don’t want to contend with costly recoupments. Compliant coding and billing helps them avoid the focus of a pre- or post-payment audit. This article discusses four services that physicians say pose payment challenges along with general tips for coding compliance. Annual wellness visits […]
The House Energy and Commerce Committee passed the No Surprises Act with a provider-backed amendment adding an arbitration clause Wednesday afternoon. It will now head to the full House for consideration. Dive Brief: The House Energy and Commerce Committee is planning to add third-party arbitration to its surprise billing legislation, the No Surprises Act, on […]
While both providers and insurers have found it difficult to agree on a solution to surprise billing, experts on both sides expressed support Tuesday for banning the practice – thereby forcing insurers and providers to work out payment disputes among themselves—when patients have gone to in-network hospitals. The approach, which has been tried in Oregon, […]
Every business not only wants to attract new customers but to keep its existing ones, and hospitals and health systems are no different. Unfortunately, surprise medical bills can be the element that drives patients away from one hospital and into the waiting arms of the competition. New research published this month in Health Affairs provides hospitals with […]
Unexpected and inaccurate medical bills can be alarming and shocking. Whether it’s hundreds or tens of thousands of dollars, when you get a bill for an ER visit or surgery you already paid or don’t owe, it can sometimes be difficult to get answers from the provider or insurance company. All this week KPRC2 consumer […]