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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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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Patient Balance Billing

Myth and misinformation is rampant in this industry.  Ask a dozen different medical billing companies whether or not it is legal to balance bill patients and you will get a dozen different answers, most of which will be wrong and all of which will be supported by the fact that they present themselves as “medical billing experts”.

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