Billing & Collections

The Secretaries of Labor, Health and Human Services, and Treasury seek nominations to a congressionally mandated committee that will advise their departments and Congress on ground ambulance patient billing, the Centers for Medicare & Medicaid Services announced.
A United States Attorney‘s Office is attempting to bootstrap the Centers for Medicare & Medicaid Services billing guidelines on overlapping surgeries into a False Claims Act case, the AHA and Hospital and Healthsystem Association of Pennsylvania argue in a friend-of-the-court brief filed in a…
The documentary feature film, INHOSPITABLE, will premiere at the DOC NYC film festival on Nov. 13. According to the film’s website, it purports to “expose American hospitals’ significant role in our broken healthcare system.”  
A recent AHA survey of hospitals and health systems found that 89% of respondents experienced an increase in payment denials over the past three years, and 51% reported experiencing a “significant” increase in denials.
The Departments of Health and Human Services (HHS), Labor, and Treasury and the Office of Personnel Management (“the departments”) Sept. 10 released proposed rules implementing certain provisions of the No Surprises Act related to enforcement, air ambulance transparency, and agent and broker…
Hoping to prevent patients from delaying or not getting needed care, Pennsylvania-based Geisinger has introduced a customizable zero-interest artificial intelligence (AI)-enabled payment plan for out-of-pocket medical expenses.
The Departments of Health and Human Services, Labor, and Treasury (“the departments”) Aug. 20 released a set of Frequently Asked Questions (FAQs) related to provisions in the No Surprises Act and the Transparency in Coverage final rule. As requested several times by the AHA, the departments…
Last week, a series of emails that became public revealed communication between executives at UnitedHealth Group and researchers studying the frequency of surprise medical billing.
Last week a series of emails that became public revealed communication between executives at UnitedHealth Group and researchers studying the frequency of surprise medical billing.
Commenting on the Centers for Medicare & Medicaid Services’ guidance for providers and facilities on the notice-and-consent process for patients choosing to waive their balance billing protections under the No Surprises Act, as well as the public disclosure process to inform patients of these…