Out-of-Network Balance Billing Continues To Draw Attention
Out-of-Network balance billing of patients continues to be a hot topic at the state level in 2018. This occurs when a patient receives out-of-network medical care and is then responsible for a balance much higher than expected. Often times, this balance can cause financial hardships, driving many states to develop legislation to protect patients from these unexpected costs. There are still many states that do not have legislation regulating this practice, but both New Hampshire and Washington are looking at ways to lessen the liability of balance billing. Currently, there are 30 states with no protection, 15 with limited protection and 6 states with sound protective practices. Articles on this topic can be reviewed at our website on the White Papers tab, to include status by state. APS will continue to monitor this situation and provide relevant updates going forward. If you have any questions on related policies in your practice’s footprint, please contact your Practice Manager.
In working through the wide variety of billing arrangements, APS found payments that we had been missing.