Category: ER Billing

New Texas legislation protects health care consumers

While much was discussed and debated during the 85th Texas Legislative session, two important and successfully passed bills will help protect Texas healthcare consumers from the outrageous costs and confusion associated with freestanding emergency rooms. Senate Bill 507, authored by

Posted in ER Billing, Freestanding ER, Providers Perspective

Patients don’t back Anthem’s new ER policy

Patients are not happy with Anthem’s new emergency room coverage policy, according to a new poll, although the health insurer says it is largely misunderstood.  The American College of Emergency Physicians polled more than 2,200 adults; two-thirds said they oppose insurance policies that don’t

Posted in ER Billing, Industry Updates

Doctors group speaks out against health insurer’s policy denying coverage of some ER visits

A major health insurance provider in Missouri is taking heat from a group of doctors.  American College of Emergency Physicians (ACEP) claims Anthem Blue Cross Blue Shield is warning members they may have to pay for trips to the emergency

Posted in ER Billing, Industry Updates, Providers Perspective

Journal republishes withdrawn paper on emergency care prices, amid controversy

The Annals of Emergency Medicine has republished a controversial paper it withdrew earlier this year which compared the cost of emergency care at different types of facilities. Because the paper drew heavy criticism when it was originally released, the journal has published a revised

Posted in ER Billing, Freestanding ER, Industry Updates, TX Hospitals

Comparing Utilization and Costs of 20 most common procedures by facility type – Annals of Emergency Medicine

Table 2 lists the 20 most common procedures by facility type for the study period 2012 to 2015. The prices in Table 2 include both the facility and professional component of each procedure’s price. Rank by frequency, percentage of all visits, and mean prices of

Posted in ER Billing, Freestanding ER, Industry Updates, TX Hospitals

Comparing Utilization and Costs of Care in FSED, HED, and UC

Results Characteristics of Study Subjects The freestanding ED claims processed by BCBSTX came from 52 facilities in 2012. The number of facilities submitting claims increased to 86 in 2013, 134 in 2014, and 207 in 2015. The smaller number for

Posted in ER Billing, Freestanding ER, Industry Updates, TX Hospitals

Anthem policy drives outpatient imaging services out of hospital-owned facilities; will other services follow?

A new Anthem policy that took effect July 1 for local plan members in Indiana, Kentucky, Missouri and Wisconsin drives patients who need outpatient imaging services to freestanding facilities. The policy went into effect for members covered in Ohio on Sept. 1.

Posted in ER Billing, Industry Updates

For Texans with shocking medical charges, bill that governor signed can’t come soon enough

When Jay Garnett began to feel severe chest pain during a workout about a year ago, his son called 911. Garnett was having a heart attack. An ambulance rushed him to the nearest hospital in Denton, where doctors saved his

Posted in ER Billing, Industry Updates

Medical bills sometimes surprise with extra expenses – Washington Times

A Yale study, and an accompanying profile in The New York Times, made waves this month for exposing what’s called “surprise billing.” This occurs when a patient receives a high, out-of-network bill for care received at an in-network hospital. Amazingly,

Posted in ER Billing, Industry Updates

Yale research points to Dallas company for spike in costly hospital bills- Dallas News

Dallas-based emergency room staffing company EmCare is to blame for a surge in “surprise” medical bills in Texas and other states, according to health policy and economics researchers at Yale University. EmCare and Tennessee-based TeamHealth together make up a third of

Posted in ER Billing, Industry Updates
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