Kaiser Health News

JANUARY 12, 2024

Still, “we know from surveys and other data that, even 10 years on, a lot of people are unaware there are premium subsidies available through ACA marketplaces,” said Sabrina Corlette , co-director of the Center on Health Insurance Reform at Georgetown University. 1 and runs until Jan. 16 in most states.

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Center for Health Insurance Reform

JANUARY 7, 2022

As we enter 2022, consumers are now protected from many of the worst surprise medical bills. Continue reading → The post The New Year Brings New Protection Against Surprise Medical Bills: What Consumers Need to Know appeared first on Center on Health Insurance Reforms.

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Medical Billing Health Insurance Hospitals 81

Healthcare Dive

APRIL 12, 2023

Respondents had difficulty finding clinicians and health insurance and struggled to keep up with family medical bills in the previous year.

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Medical Billing Health Insurance 250

HIPAA Journal

APRIL 8, 2022

Advanced Medical Practice Management Sends Notification Letters About July 2021 Cyberattack and Data Theft Incident. The New Jersey medical billing administrator, Advanced Medical Practice Management (AMPM), has recently announced it was the victim of a cyberattack that involved the data of several of its healthcare provider clients.

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HIT Consultant

SEPTEMBER 19, 2023

A staggering 71% of consumers find the process of reconciling billing issues between their health insurer and healthcare provider to be stressful, and 4 in 10 will withhold payment if they cannot comprehend the administrative procedures.

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Medical Billing Health Insurance Hospitals 102

Healthcare IT Today

NOVEMBER 14, 2022

Employees get endless bills, statements and notices, but the information rarely adds up. Nor do they understand what’s been covered by health insurance and what hasn’t. And all this confusion has real-world consequences on health care consumers. “And They don’t know what they owe and to whom. The High Stakes.

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Medical Billing Payment Systems Health Insurance HIPAA 102

Health Populi

AUGUST 21, 2023

” HealthEdge’s latest research into health consumers’ perspectives finds peoples’ satisfaction with their health insurance plans lacking, with members seeking easier access their personal health information, high levels of service, and rewards for healthy behaviors.

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Health Populi

FEBRUARY 1, 2022

consumers are facing historically high levels of inflation for household spending on food, petrol, and home goods, health consumers will be dealing with greater out-of-pocket spending based on health insurance forecasts such as this latest one from Segal. For more on health care costs facing U.S.

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Medical Billing Health Insurance Hospitals 62

Health Populi

FEBRUARY 12, 2024

Those with medical debt in the U.S. Health Populi’s Hot Points: Having health insurance in the U.S. is no guarantee of being safe from medical debt exposure. ” Here we see that among people who have health insurance in the U.S.,

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Medical Billing Health Insurance Doctors Health Care Access 122

Health Populi

JUNE 26, 2023

People love being health-insured, but their negative experiences with health plans create serious burdens on patients-as-consumers. The 2023 Kaiser Family Foundation Survey of Consumer Experiences with Health Insurance updates our understanding of and empathy for insured peoples’ Patient Administrative Burdens (PAB).

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Health Insurance Doctors COVID-19 Medical Billing 62

Health Populi

DECEMBER 5, 2019

Workers covered by health insurance through their companies spend 11.5% of their household income on health insurance premiums and deductibles based on The Commonwealth Fund’s latest report on employee health care costs, Trends in Employer Health Coverage, 2008-2018: Higher Costs for Workers and Their Families.

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Center for Health Insurance Reform

FEBRUARY 10, 2023

In the first month of 2023, CHIR reviewed studies on how policies expanding health coverage would impact household spending, surprise medical bills generated by ground ambulance rides, and health care costs associated with substance use disorders.

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Medical Billing Health Insurance Medicaid Medicaid 94

Center for Health Insurance Reform

OCTOBER 20, 2022

The No Surprises Act (NSA) aims to protect consumers facing surprise medical bills after receiving care from out-of-network providers under circumstances beyond their control. In a new report for the Commonwealth Fund, CHIR experts look at how states are working with the federal government to implement this landmark law.

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Medical Billing Health Insurance Governance 93

Health Populi

FEBRUARY 24, 2020

Prioritizing the digital health experience, with financial health baked into the front-end and not just the back-end bill payment and ex post facto EOB from the health plan will help reverse this era of eroding trust between patient and hospital.

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Medical Billing Patient Satisfaction Hospitals Doctors 96

Center for Health Insurance Reform

FEBRUARY 28, 2022

Unpaid medical bills are among the largest contributors to personal debt in the United States. Evidence indicates that medical debt disproportionately affects people of color and individuals with lower incomes.

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Medical Billing Health Insurance 131

Health Populi

SEPTEMBER 4, 2018

Most Americans have been surprised by a medical bill, a NORC AmeriSpeak survey found. Nearly all Americans (86% net responsible) first blame health insurance companies, followed by hospitals (82%). Who’s responsible? I included this image from Tom’s Shell petrol station in that first post. Plus ça change.

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Medical Billing Health Insurance Doctors Hospitals 47

Health Populi

MAY 5, 2019

This is what rationing health care looks like in America: one in two people in families dealing with a chronic health condition have difficulty affording paying medial bills before meeting a deductible, unexpected medical bills, co-payments for prescription drugs, co-payments for physician visits, and/or their monthly health insurance premium.

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Health Insurance Medical Billing Governance 98

Medisys Compliance

OCTOBER 19, 2022

Understanding the concept of Mental Health Medical Billing. Medical billing include submitting claims for the patient’s healthcare services. Medical billing for behavioral health may be more challenging than for other healthcare specialties due to the specialty’s complexity.

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Medical Billing Medical Billing Outsourcing Medical Billing Services Health Insurance 105

Healthcare IT Today

JANUARY 9, 2024

“Even with good health insurance, both my Co-Founder and I have received unexpected medical bills for thousands of dollars over the years,” said Kevin Chiu , Co-Founder and CEO. ” To learn more about Certainly Health and its initiatives, please visit certainlyhealth.com.

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Doctors Health Insurance Medical Billing 119

Center for Health Insurance Reform

JULY 15, 2022

The No Surprises Act (NSA) went into effect this year, providing new protections against surprise medical bills for patients who receive unanticipated out-of-network care. In the newest iteration of the map, CHIR added updates on state payment determination mechanisms and protections against surprise ground ambulance bills.

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Medical Billing Health Insurance 94

HIT Consultant

OCTOBER 5, 2023

T EXPECTATION: Patients have a thorough understanding of their own medical coverage. REALITY: Common health insurance terms such as “in-network,” “deductible,” and “copay” are used so frequently in medical practices that they are recognized and understood immediately by staff.

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Medical Billing Health Insurance 111

Medisys Compliance

AUGUST 31, 2022

With the increase in the cases it is difficult for the medical practitioners to focus on the billing structure and then carry out the paperwork. It is a tedious task and it calls for a lot of hours to be put into so it is better to hire a medical billing company. Health billing for the behavioral industry.

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Medical Billing Medical Billing Services Medical Billing Outsourcing Doctors 98

Medisys Compliance

SEPTEMBER 9, 2022

Medical billing errors are simple to make but have a significant impact on the overall revenue of the healthcare organization. Optometry medical billers deal with a variety of problems, including returned claims, denied claims, rejected invoices, improper coding, and insufficient data. Insurance Legibility. Wrapping Up .

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Medical Billing Medical Billing Outsourcing Doctors Fraud 98

Medisys Compliance

JANUARY 30, 2023

The medical billing industry is a complex and ever-changing field, and it is crucial for healthcare providers and billing companies to stay compliant with government regulations. State Laws: In addition to federal laws, medical billing companies and healthcare providers must also comply with state laws and regulations.

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Healthcare It News

OCTOBER 19, 2021

"This plan to provide clear, concise and correct medical billing information will lead to the creation of a national model to make all healthcare billing instantaneous and understandable, removing friction points for consumers and providers," said Gupta.

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Medical Billing Health Insurance 343

Health Populi

JUNE 24, 2024

He called out that, “In recent years, however, medical bills became the most common collection item on credit reports. For this research, Kantar conducted online surveys among employers (1,201 companies) and employees (2,000 workers) in June 2023. Looking forward even further out a decade to 2034, the U.S.

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Medical Billing COVID-19 Health Insurance Medicaid 62

Health Populi

JULY 24, 2023

Health Populi’s Hot Points: That’s a lot of “free” for $39.99 in any one’s definition of value-based health care — most especially, a consumer’s. ” A: “Nope — insurance isn’t needed or accepted.”

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Health Insurance Medical Billing Licensing HIPAA 118

Medisys Compliance

JANUARY 21, 2024

Introduction The mental health omnibus bill, recently passed by Congress, marks a significant milestone in improving access to mental healthcare in the United States. Policy Changes: Parity between mental and physical health insurance is emphasized, and Medicare Advantage plans will be required to offer adequate mental health coverage.

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Medical Billing Outsourcing Medical Billing Medicare Medicare 59

Medisys Compliance

JULY 11, 2022

The Consolidated Appropriations Act of 2021 established several new requirements to protect consumers from surprise medical bills. These requirements generally apply to items and services provided to consumers enrolled in group health plans, group or individual health insurance coverage, and Federal Employees Health Benefits plans.

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Medical Billing Medical Billing Outsourcing Health Insurance Medicaid 52

Kaiser Health News

APRIL 16, 2024

As a result, the lawsuit alleges, consumers lost access to their doctors or medications and faced financial costs, such as owing money toward medical care or having to repay tax credits that were paid toward the unauthorized coverage. Some consumers were switched multiple times or had duplicative policies.

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Health Populi

JUNE 20, 2022

When high-deductible health plans became part of health insurance design in America, they were lauded as giving patients “more skin in the game” of health care payments. “Instead, they’ve faced thousands of dollars in bills as health insurers shifted costs onto patients through higher deductibles.”

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American Medical Compliance

DECEMBER 26, 2023

In general, these standards apply to commodities and services given to individuals participating in group health plans or group or individual health insurance coverage, including Federal Employee Health Benefit programs.

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Health Insurance Compliance Medical Billing Medicaid 52

Compliancy Group

FEBRUARY 12, 2024

There has to be a breach somewhere in the health-care system.” Meeting Medical Billing Compliance Standards Medical billing compliance ensures that providers and administrators engage in ethical and accurate billing practices.

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Medisys Compliance

APRIL 24, 2024

Introduction As a behavioral health provider, protecting your patients’ privacy must be your top priority. The Health Insurance Portability and Accountability Act (HIPAA) is a federal law that safeguards the privacy of individuals’ health information, including mental health and substance abuse treatment records.

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HIPAA Compliance Medical Billing Outsourcing Medical Billing 59

Center for Health Insurance Reform

DECEMBER 18, 2023

The No Surprises Act (NSA) provides comprehensive protections from many of the most prevalent forms of surprise medical billing, and a new process for determining out-of-network provider reimbursement aims to control health care costs by limiting insurer payments for surprise bills.

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Medical Billing 97

Jane Sarashon

MAY 18, 2023

consumer credit rating companies — Equifax, Experian and TransUnion — planned to remove medical bill collections that were under $500 from consumers’ credit reports. And, over one-half of patients have also sought information about medical bills. On April 11, 2023, three of the largest U.S.

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HIT Consultant

NOVEMBER 1, 2022

– With the Payer Intelligence Layer, Cedar can now integrate data from health insurers and healthcare providers to help create a single source of information for consumers managing medical bills. and Allegheny Health Network (AHN) will be the first to launch the new technology for services provided to Highmark Inc.

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