Patient Billing Archive

Florida Moves Closer to Requiring Healthcare Providers and Facilities to Provide Cost Estimates to Uninsured Patients

The Florida House of Representatives’ Healthcare Council recently voted unanimously to recommend the approval of landmark legislation that would require healthcare providers to provide each uninsured patient with a good faith estimate of charges for non-emergency treatment. The “Health Care Consumer’s Right to Information Act”, if adopted, would impose a monetary fine upon any healthcare

MTBC to CA Regulators: Make Payers Play by the Rules

As I explained in my April 1st blog, California regulators have proposed new rules that would allow payers to continue to underpay non-participating providers, while penalizing the providers who seek customary and reasonable reimbursement. The proposed rules are now open for public comment and we have supplied the following comments to California’s regulators: “The underlying

The Terminator Declares War on Balance Billing

Earlier this week, California Governor Arnold Schwarzenegger’s administration followed the lead of a handful of other states by moving to ban certain balance billing practices. This latest lost hardware debacle is instructive for New Jersey health care providers and payers. Likewise, since most states have laws similar to New Jersey’s data breach law, providers and

Medicare Authorizes Missed Appointment Charges

It is increasingly common for physicians to charge their patients a fee for missed appointments. For example, approximately 31% of MTBC’s clients routinely charge a missed appointment fee. Most of these providers charge approximately $25, while others charge as little as $15 or as much as $100 per missed appointment1. Until recently, there has been

NJ DOBI Orders Aetna to Properly Reimburse Non-participating Providers

Last week, the New Jersey Department of Banking and Insurance (“NJ DOBI”) entered an order requiring Aetna to pay a fine of $9,457,500 for violating New Jersey’s HMO regulations regarding reimbursement for services rendered by non-participating providers. New Jersey HMO Law Pursuant to New Jersey law, an HMO must limit its members’ liability for services

Hospitals Consider Discounts for Needy Patients as Costs Soar

Major medical technology advances over the last two decades have significantly improved the quality of care received by hospital patients. However, the use of technology has also resulted in increased costs and many of the underinsured or uninsured ‘working/retired poor’ have been priced out of the market. In a recent RAND Health report, Dana Goldman,