The balance billing
issue returned as a key agenda item for the 2017 Texas Legislature, as it is in many other states as well.
Senate of Texas, Texas Legislature Passes Balance Billing
108) There has been a movement within the past several years to allow Medicare-contracted physicians to go beyond the limited reimbursement available through the balance billing
of unassigned claims.
the UCR and Medicare rate) to determine reimbursement, excessive balance billing
for emergency care, lack of disclosure for nonemergency care, and difficulty submitting claims.
The plan must also provide that the hospital give enrollees prior notice before they receive inpatient services and certain other services, when the amount of balance billing
could be substantial.
Change the prohibition on balance billing
, and you will have solved the problem.
As with balance billing
, participating provider rates vary by specialty with psychiatrists, anesthesiologists, and general practice physicians having the lowest participation rates among specialty groups (Physician Payment Review Commission, 1993).
That appears to be the intent of this bill - it's why the bill's supporters torpedoed attempt after attempt to insert consumer protections against balance billing
during the legislative process.
In his Sona on Monday, Duterte said that the government expanded PhilHealth coverage and benefits and strengthened the No Balance Billing
(NBB) policy, which exempts indigents and other marginalized sectors from paying their bills in government hospitals.
State insurance regulators talked about the air ambulance services balance billing
problem this summer in San Diego, at a meeting of the Kansas City, Missouri-based National Association of Insurance Commissioners.
Like Medicare, the Medicaid prohibition against balance billing
is comprehensive, though it does not have the restrictive exceptions found in Medicare reimbursement law.
His comments followed a letter he sent to Kitzman expressing his concern over her decision to propose changes to the so-called balance billing
rule passed by her predecessor.