Billing and Collections
The DOJ is seeking an amount equal to three times the amount of the $1.4 billion in damages as well as a civil penalty of $11,000 for each violation.
The company says it was able to do this because of lower-than-anticipated costs during the COVID-19 pandemic.
This policy will allow consumers to remain covered and receive care during the public health emergency.
With a precipitous drop in volume, some organizations are going back to basics from a revenue cycle standpoint.
Providers should seek ways to automate the process as much as possible to curtail the manual work involved.
Nonprofit insurer is working with two financial-services partners to provide financing guarantees, advance payments and restructuring of contracts.
Since all of the estimates are based on pneumonia, it's likely that costs will be even higher during the coronavirus outbreak.
Under strict proposals, in-network negotiated hospital prices could be cut by 31% to 40%, saving up to $124 billion annually.
Understanding contract loopholes, and being self-advocates during negotiations, can help community hospitals increase their collections.
The average potential surprise bill ranged from $86 for medical imaging specialists to more than $8,000 for surgical assistants.