Beginning January 1, 2018, Anthem Blue Cross and Blue Shield began enforcing a new policy in Indiana which denies payment for emergency department charges for what Anthem considers “non-emergency” conditions and requires patients to pay out of pocket. 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
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
A recent study by Connance found that patients who were satisfied with the billing process were more likely to pay their bills in full than patients who were unsatisfied. So, if that’s true, how do you improve your billing process? Here are a few ideas. READ MORE
Have you recently received a new credit card in the mail with a small, metallic square on one end? Welcome to a new era of credit card payments. READ MORE
While healthcare payments from patients and payers are expected to reach as much as $5 trillion per year by 2022, more than 30 percent of those dollars are purported to be wasted due to “inefficient, disjointed payment processing and costs associated with paper-based billing and administrative processes,” according to an InstaMed report published in May 2015. READ MORE
While millions of Americans await a Supreme Court ruling on the case of King v. Burwell to determine the fate of their healthcare coverage, medical providers also should begin thinking about how the case could affect their practice. READ MORE
One way to understand how patients who pay nothing affect your medical practice is to track your zero payment rates. READ MORE
Even as the uninsured rate in the United States dropped to 12.9 percent for 2014’s fourth quarter—the lowest since 2008 when Gallup began measuring it—collecting patient balances continues to irk medical practices, particularly emergency medicine groups. READ MORE
Recent news stories about patients’ astronomical out-of-network medical bills resulting from in-network hospital visits are highlighting once again the complexity of our health insurance system. As the issue gets more and more attention, what should physicians do? READ MORE
