Category: ER Billing

New doctors group starts at ER;

After months of community concern about Envision Healthcare’s out of network billing practices, patients visiting Sutter Coast Hospital’s emergency department will be seen by a new physician’s group starting today. Sutter Coast Hospital announced Monday that Sound Physicians will be

Anthem’s effort to punish patients for ‘unnecessary’ ER visits has been a bust — but still burdens patients 

In the last few years, Anthem Blue Cross has made a strong bid for the award for the most heartless and senseless coverage policy in the health insurance business. Its competition entry is a policy that penalizes patients for seeking

Anthem ER policy could deny 1 in 6 visits if universally adopted, JAMA study warns 

Anthem ER policy could deny 1 in 6 visits if universally adopted, JAMA study warns Dive Brief: Anthem Blue Cross Blue Shield’s controversial policy that denies emergency coverage based on a patient’s diagnosis after a visit to the ER, would

New surprise bill lobbying from ER docs

New surprise bill lobbying from ER docs Two weeks after a handful of senators introduced legislation to curtail surprise medical bills, the American College of Emergency Physicians hired new lobbyists to handle the issue, Axios’ Bob Herman notes. Driving the news: ACEP, the

ER doctors say Iowa Medicaid change hurts patients, hospitals

IOWA CITY, Iowa (AP) – Emergency room physicians are protesting an Iowa Medicaid billing change that they say will harm low-income patients and hospitals. Starting Aug. 1, Iowa Medicaid no longer allowed emergency rooms to receive full reimbursement for treating some

Your insurance may not cover that emergency room visit

A change in emergency coverage announced by Anthem Blue Cross Blue Shield earlier this year means fewer visits to the emergency room are covered. A study published in the JAMA Network Open contends that one in six ER visits wouldn’t be covered

Envision Healthcare responds to UnitedHealthcare with PR blitz 

Envision Healthcare, a physician staffing firm that has been at the center of controversial emergency room bills, launched its own campaign Wednesday that blames health insurance companies for the rise of out-of-network surprise billing. The bottom line: This has turned into a contentious, public battle

Envision launches campaign to end ‘surprise’ bills amid UnitedHealthcare fight

Nashville, Tenn.-based Envision Healthcare rolled out a digital video campaign targeting “surprise” or out-of-network medical bills Oct. 3 as one of the largest providers of emergency room services feuds with UnitedHealthcare over ER billing. Here are four things to know: 1. The video

Hospital chain agrees to pay $260 million to settle criminal probe

Health Management Associates has agreed to pay more than $260 million to settle fraud charges that included paying kickbacks to physicians and ripping off federal health programs, the Justice Department said. HMA, which was acquired by the for-profit hospital Community Health Systems in 2014,

UnitedHealth Plays Hardball With ER Doctors As Pay Shifts To Value

As UnitedHealth Group shifts medical provider contracts away from fee-for-service medicine, the insurer’s warning to Envision Healthcare shows how serious the insurer is about moving providers to value-based models and the willingness to play hardball to achieve its goals. UnitedHealth