Billing and Collections
The notices are part of the settlement of a lawsuit regarding charity care in Santa Clara County.
Facility fees create confusion and increase costs for consumers, such as greater out-of-pocket expenses and higher premiums, the report says.
HIMSS23
Providers can get ahead of the bill to better communicate payment options, say Sphere Chief Revenue Officer Ryne Natzke and Chief Product Officer John Welch.
The allegations involved HCA billing Medicaid improperly for three separate behavioral health services available to children who qualify.
Health systems need vendor goals, communication and improvement plans, say revenue cycle experts.
Physician-trained AI can recover millions in lost revenue by reducing denials, says Dr. Michael Gao, CEO and cofounder of SmarterDx.
HIMSS23
For Medicare Advantage audits, there must be evidence in the medical documentation to support the billing codes, says David Lareau, CEO of Medicomp Systems.
HIMSS23
The Medicare Advantage Risk Adjustment Validation final rule has ramped up compliance pressure against overcoding, says Dr. Calum Yacoubian, director of healthcare strategy at IQVIA.
Fifty-two percent of insured Americans say paying for medical bills creates stress that is affecting their health.
During AHIP 2023, Prx Health tackles the issue of billing codes being needed for reimbursement and to prevent inappropriate use of the ER.