Category: ER Billing

Stalemate Or Solution? Ga. Legislative Fight Over Surprise Billing Renewed 

The thorny problem of surprise medical billing has once again sparked competing remedies within the General Assembly. Past attempts at a solution have ended in failure and frustration. Whether this year’s bills will actually lead to a resolution is anyone’s

Whistle-blower accuses HCA of fraudulent billing practices – Modern Healthcare

A former HCA nurse accused the hospital chain of fraudulently billing the federal government for services delivered at Regional Medical Center in San Jose to inflate reimbursement. In an unsealed False Claims Act case in California federal court, the whistle-blower claimed that

Coalition of insurance, business and consumer groups want patients protected from surprise bills –

A diverse coalition of Texas health insurers, business organizations and consumer groups on Monday called on state lawmakers to better protect patients from the financially devastating effects of surprise medical bills. In a consensus letter, the groups representing millions of

ACEP: Anthem Blue Cross Blue Shield Policy In Ohio Puts Patients At Risk – Dec 19, 2017

WASHINGTON, Dec. 19, 2017 /PRNewswire-USNewswire/ — The American College of Emergency Physicians (ACEP) and its Ohio Chapter (Ohio ACEP) today came out against a policy that Anthem Blue Cross Blue Shield (BCBS) plans to implement in the state on January 1st in which emergency

Anthem’s emergency room coverage denials draw scrutiny

Paul Sweatman was back at the emergency room. It was fall 2017 and a week before his left ankle had swollen to three times its normal size. His first stop, an urgent care clinic, said the problem was out of Zuckerberg hospital suspends surprise ER billing tactics after Vox story

Officials at Zuckerberg San Francisco General Hospital say they intend to change their longstanding policy of being out-of-network with all private insurance, a billing practice that has left insured patients in debt for tens of thousands of dollars. In January,

Insurance proposal could shift pay burden on ER visits | Health |

 A group of emergency physicians is sounding alarms, but Blue Cross says there’s no fire. The state and national chapters of the American College of Emergency Physicians are taking issue with Blue Cross & Blue Shield of Mississippi, saying a

Newsweek: Zuckerberg Hospital ER Doesn’t Take Private Insurance, Sticking San Francisco Patients with Huge Bills

In 2015, Facebook founder Mark Zuckerberg and his wife, Priscilla Chan, donated $75 million to San Francisco General Hospital for the construction of a Level I Trauma Center, the only such facility in San Francisco. The hospital was subsequently renamed

Will Blue Cross Blue Shield insurance change limit coverage in MS ER?

A physicians group is raising concerns about a planned Blue Cross & Blue Shield of Mississippi policy change it says could lead to less care being covered when a patient comes into the emergency room. The Mississippi chapter of the American College of Emergency Physicians

Newsweek: Hospital Prices: Full Cost Lists Must Be Published From January 1st, New Federal Rule Says

Hospitals across the country have geared up to publish online price lists for all the medical services they provide, as a federal law takes effect on January 1. The new law, which was announced in April, should also make it easier for patients