Talk Ten Tuesdays

Surprise Balance Billing Issues: Part II

March 26, 2019 Chuck Buck | Timothy Powell, CPA | Laurie M. Johnson | Rose Dunn | Mel Tully | Matthew Albright | Erica Remer, MD Episode 362
Talk Ten Tuesdays
Surprise Balance Billing Issues: Part II
Show Notes

Surprise balance billing is an issue that is not only generating national interest but also legislative engagement on the state level. In Part I of this series, Holly Louie, past president of the Healthcare Business and Management Association, reported on such billing related to insurance company denials. For Part II, Matthew Albright, former Director of the Administrative Simplification Group at the Centers for Medicare & Medicaid Services (CMS), reports on billing laws on the state level, as well as billing protections by the U.S. Senate.

Albright examines trends in surprise balance billing laws being seen passed in the states, specifically with regard to reimbursement benchmarks. And touches on what states are considering balance bill laws in their 2019 legislative sessions and what the status is on the U.S. Senate’s bipartisan efforts in this area.

The broadcast will also feature these other segments:

  • The ICD-10 Coding Report: Nationally recognized coding authority Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, will be reporting on latest coding news. 

  • CDI Report: Mel Tully, vice president of clinical services and education for the healthcare division of Nuance Communication, will report on compliance issues associated with clinical documentation integrity.  

  • News Desk: Timothy Powell, a compliance expert, and ICD10monitor national correspondent will anchor the Talk Ten Tuesdays News Desk.

  • The Dunn Report: National health information management (HIM) expert and past American Health Information Management Association (AHIMA) President Rose Dunn returns to the broadcast with a series on how HIM can play a role in other areas of the revenue cycle.

  • TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, once again reports on SIRS, Sepsis, and Rule No. 1.