MedPage Today August 31, 2020
Richard E. Heller, III, MD, MBA

— We need to understand the problem before we fix it

Recent publications have described the issue of surprise billing and lamented the inability of Congress to pass legislation dealing with this problem. Highly respected physicians have given their support to proposals by the House Energy and Commerce (E&C) and the Senate Health, Education, Labor and Pensions (HELP) committees as balanced efforts and called for physician support. In this article, I review various proposals aimed at addressing the problem and point out potential consequences unrelated to surprise billing.

Briefly, surprise billing occurs when a patient with private health insurance receives unexpected care from a provider that is not in their plan’s network. As a result of the provider being out-of-network...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Congress / White House, Govt Agencies, HHS, Insurance, Patient / Consumer, Provider, RCM (Revenue Cycle Mgmt), Technology
Transforming Denials Management: Insights and Best Practices for Your Organization
Embracing the 'Musical Chairs:' How One VP of Rev Cycle Prioritizes Succession Planning
Remain Compliant – and Take the Money
The AI Blueprint: An Implementation Guide for Revenue Cycle Leaders
Tower Health says Ensemble Health Partners will take over billing, patient access management

Share This Article