A federal court decision highlights the risk providers may face if they do not comply with Medicare Bad Debt regulations. … Read More
To combat the growing problem of telehealth fraud, the OIG published a new Special Fraud Alert to help providers avoid telehealth schemes. … Read More
The Appropriate Use Criteria Program ensures providers who order outpatient imaging services have medical necessity to do so. … Read More
SCOTUS found HHS correctly calculated safety-net payments. Hospitals caring for low-income patients could see payments negatively impacted. … Read More
Find responses to frequently asked questions about Good Faith Estimates and helpful No Surprises Act-related resources. … Read More
How to comply with the rules for uninsured or self-pay individuals, including everything you need to know about a Good Faith Estimate (GFE). … Read More
Providers initiate the independent dispute resolution process if they think the amount remitted by an out-of-network payer is insufficient. … Read More
Under the No Surprises Act, a non-participating/OON provider cannot balance bill patients unless they provide the standard notice and consent. … Read More
The No Surprises Act (NSA) requires providers and facilities to communicate consumer protections against balance billing. … Read More
Take a deep dive into the No Surprises Act (NSA) and its requirements for billing insured, out-of-network patients. … Read More