2017 Unwelcome Surprise Medical Bill Laws - aka Balance Billing

There has been a great deal of coverage in the press about unwelcome surprise medical bills, and Apache Health provides this article with the intent to help providers with information on the laws and regulations surrounding balance billing nationally and in their state.  This is intended for facility-based physician groups for anesthesia billing, radiology billing, hospitalist billing, and pathology billing who often balance bill a patient in full when they are out of network.

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Patient Balance Billing Lawsuits

Billing out-of-network can be extremely complex, especially with respect to patient balance billing.  Due to being the leading medical billing company when it comes to out-of-network billing, Apache Health often gets questions from our clients and prospective clients on whether they can balance bill patients in full or waive patient balances.

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California Medical Billing - Balance Billing Pt 2

Apache Medical Billing frequently gets questions about California medical billing rules and regulations, and in particular about the potential impact on facility based physician groups like for anesthesiologist billing, radiologist billing, and hospitalist billing of the new Balance Billing Law California AB 72.  In part 2 of the California medical billing rules and regulations regarding patient balance billing, we discuss specifically California AB 72.

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California Medical Billing - Balance Billing

Apache Health receives frequent inquiries about California medical billing and whether it is legal to balance bill in full or contrarily to waive patient balances.  As noted in greater detail in some prior articles we have written, facility-based physician groups like for anesthesia billing, radiology billing, hospitalist billing, and ER billing often seek to balance bill a patient in full when they are out of network, however facilities like ASC billing, laboratory billing, and imaging center billing often seek to waive the patient balances in whole or in part when billing out of network.  Following is some information specific to California rules and regulations regarding patient balance billing.

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Waiving Patient Balances – Part 2

We frequently get medical billing questions from out of network providers (non-contracted) especially for referral-based facilities like imaging center billing, laboratory billing, and ASC  billing is whether they can waive patient balances.  Following is the second part to the article about the rules and regulations surrounding waiving patient balances that may help your practice.

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Waiving Patient Balances – Part 1

One of the most common medical billing questions we get from out of network providers (non-contracted) especially for referral-based facilities like imaging center billing, laboratory billing, and ASC billing is whether they can waive patient balances.  Following is some information that may help your practice.

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Cash Pay Discounts in Medical Billing

Apache Health frequently gets medical billing questions from our clients about “cash pay discounts”, whether they are legal, can they provide them, and how much of a discount is legally allowed?  This is part of our ongoing series about the rules and regulations surrounding medical billing.

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