In Billing
May 29th, 2019
Consumers overspent $18.5 billion on diagnostic imaging in 2017, according to a UnitedHealth Group (UHG) research brief, released May 23. The health insurer attributes the overspending to price gouging by some providers. Echocardiograms in 2017, for example, cost patients anywhere between $210 and $1,830, according to the brief. The average was $480, but UHG says ...
Don’t let the financial stress of billing for a non-participating provider surpass the stress of an emergency visit. A trip to the emergency department (ED) is stressful, enough. Don’t rub salt on a wound by sending a surprise bill for services rendered by an “out-of-network” provider. Take steps to collect payments due and keep patients, ...
In Billing
Apr 29th, 2019
One of the hot topics that just happened at the 2019 HEALTHCON was “Gender Identity: Coding EMRs and Insurance Barriers,” presented by Danielle Erickson, CPC, CCS, and Litriana Shimano, CPC, CMDP, CCP, PCS, AHIMA Approved ICD-10-CM/PCS Trainer. It was a full session that many medical coders and payers attended because transgender medical services are difficult ...
In Billing
Jan 25th, 2019
School faculty often does whatever it takes to help out a student to ensure they thrive in their educational environment. And then, there is Casey Smitherman, the superintendent of Elwood Community Schools in Indiana, who took nurturing to an extreme when she committed fraud to treat a student with strep throat. Smitherman was booked on ...
Know their methodologies so you can use them to your financial advantage, not detriment. Third-party pricing companies may be a foreign entity among participating providers, but for non-participating providers they have become an obstacle in fair/correct insurance reimbursement. In-network rates are typically fixed and less than “fair market” rates. Out-of-network rates are more fluid and ...