surprise billing
publication date
Payer
The Patient Expected a Free Checkup. The Bill Was $1,430.
Not all services that may be provided as part of an annual physical are paid for by insurance as preventive...
Payer
How Much Will that Surgery Cost? Hospital Prices Remain Largely Unhelpful.
Trump's 2025 order shows how little progress the country has made since he issued a similar directive nearly six years...
Revenue Cycle
3 Years Later: Lessons Learned from the No Surprises Act
The No Surprises Act went into effect in 2022, forcing major changes to workflows throughout revenue cycle operations. Three years...
Revenue Cycle
Employers Press Congress to Cement Health Price Transparency Before Trump's Return
Employers are using transparency data to try to slow growth of their healthcare costs.
Revenue Cycle
With Trump on the Way, Advocates Look to States to Pick Up Medical Debt Fight
But new state initiatives may not be enough to protect Americans from medical debt.
CEO
Northwell Health Dinged for $1M After 'Deceptively Advertising COVID-19 Testing Sites,' NY AG Says
New York's largest health system has refunded $400,000 to more than 2,000 patients, and will pay $650,000 in penalties to...
Payer
When a Quick Telehealth Visit Yields Multiple Surprises Beyond a Big Bill
$660 for what was billed as a 45- to 59-minute visit. The insurer paid nothing, ruling it out of network.
Revenue Cycle
Out for Blood? For Routine Lab Work, the Hospital Billed Her $2,400
The hospital charged $9,520.02 for the blood tests and pathology services. The insurer paid $4,310.38, leaving the patient with a...
Revenue Cycle
New CA Law Offers Fresh Protection From Steep Ambulance Bills
California is the 14th state to provide some protection against balance billing for ground ambulance rides.
Revenue Cycle
Providers: Insurers Not Adhering to No Surprises Act Payments
Over 48,000 clinicians polled say payers are manipulating the surprise billing law.
Revenue Cycle
Price Transparency Report Calls Out Major Systems for Noncompliance, 'Backsliding'
Only 36% of hospitals are fully complying with the rule, while forty hospitals exhibited backsliding on compliance, a new report...