(Updated 2) Texas court again backs providers in No Surprises Act independent dispute resolution litigation
A physician association continues to roil the No Surprises Act’s arbitration process through successful litigation. For the second time in a year, the Texas Medical Association (TMA) prevailed in court after arguing that regulations governing the independent dispute resolution (IDR) process do not comply with legislative intent. Barring a successful appeal, the Feb. 6 ruling…
How to meet your patients’ communication preferences and improve your bottom line
In this HFMA executive roundtable, seven health system leaders share their efforts to effectively engage patients and the lessons they have learned along the way.
Professional Credit eases the collections process for both staff and healthcare consumers
Debt collections are often the last communication touch point a patient has, and health systems should ensure their business partner is representing the organization in the best possible manner. See how one company eases the collections process for staff and consumers.
News Briefs: 2023 brings a steep fee hike for No Surprises Act arbitration cases
The No Surprises Act’s independent dispute resolution (IDR) process has become more expensive for healthcare stakeholders. For the new year, the nonrefundable administrative fee due from each party involved in any payment dispute that goes to arbitration increased from $50 to $350, according to a Dec. 23 memo from CMS’s Center for Consumer Information and…
Hospitals have options for effectively managing complicated reimbursements
How can health systems and patients both win when it comes to payment? Read this article to learn how hospitals can maximize collections and get paid for provided services on top of how patients can identify source of payment that is not out of pocket.
How to use analytics and automation to build an intelligent A/R strategy
Health systems seeking to improve their accounts receivable function are turning to machine learning and AI to streamline patient interactions in ways that benefit the organizations and their patients. Read the challenges and benefits of using automation health system executives discuss in this roundtable.
Medicare contractors should more closely examine providers’ bad debt claims, HHS watchdog says
Medicare administrative contractors (MACs) soon could apply more scrutiny to providers’ reported bad debts if CMS implements recommendations from the HHS Office of Inspector General (OIG). OIG in December issued a report in which it examined bad-debt reimbursement claims on Medicare cost reports spanning 2016 through 2018 for 67 randomly selected providers (including 29 hospitals). In those…
For the No Surprises Act arbitration process, 2023 brings a steep fee hike and continuing litigation
The No Surprises Act’s independent dispute resolution (IDR) process is about to become more expensive for healthcare stakeholders. In 2023, the nonrefundable administrative fee due from each party involved in any payment dispute that goes to arbitration will increase from $50 to $350, according to a Dec. 23 memo from CMS’s Center for Consumer Information and Insurance…
Healthcare News of Note: Trust in local healthcare systems’ handling of the pandemic increased during a 28-month time span
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Trust increased in healthcare providers’ handling of the pandemic when compared with the government, working-age adults suffer financial setbacks after admission for traumatic injury, and deaths by stimulants have increased.
No Surprises Act regulations remain a moving target for compliance
Amid all the rules stemming from the No Surprises Act, a looming mandate for providers to send cost estimates to health plans looks like the biggest stress inducer.