Emergency physicians in Kansas and Missouri are raising new concerns about insurers refusing to pay or paying only a screening fee for patients being treated for conditions which they claim are non-urgent. Is Indiana next? Read more
Before the 2017 ASA commercial surveys are distributed this summer, we thought we’d take a look at the 2016 results and the state of commercial payments. Read more
With so much riding on a practice’s fee schedule, it seems important that physicians routinely review their fee schedules. But do they? How long has it been since you dusted off the charge list of procedures you routinely perform? And more importantly, how do you know when your fee schedule needs to be changed or updated? Read more
In the ongoing debate about out-of-network balance billing, or so-called “surprise billing,” a recent national study found that the average anesthesiologist charges at least four times what Medicare reimburses for the same services. But the American Society of Anesthesiologists says the study focuses on the wrong issues. Read more
In the ongoing debate about out-of-network balance billing, or so-called “surprise billing,” a recent national study found that the average emergency physician charges at least four times what Medicare reimburses for the same services. But the American College of Emergency Physicians says the study focuses on the wrong issues. Read more
While the debate over out-of-network balance billing rages on, one way to minimize the impact would be enter into or maintain contracts with payers. For those payers that you do decide to go or remain in-network with, here are a few tips for navigating payer contracts. Read more
EDPMA, in cooperation with ACEP, submitted to CMS a number of comments about the Notice of Benefit and Payment Parameters for 2018, “urging it to require ACA health plans to offer fair coverage including adequate reimbursement for emergency care.” Read more
The American Society of Anesthesiologists recently released their 2015 ASA Commercial Conversion Factor survey results. Read more
Have you recently added a new practice location, changed your name, switched your account to a different bank, or incorporated your practice? Congratulations! But make sure you take the final step of notifying payers so that payments won’t be disrupted, revalidations won’t be sent to the wrong address, or your billing privileges won’t be revoked. Read more
Narrow insurance networks that have flourished under the Patient Protection and Affordable Care Act (ACA) have patients, providers, and policy makers all crying foul. Read more
