AHIP: New York, Texas Have Highest Out-of-Network Medicare Bills
Twelve of the 24 highest charges are in New York and five are in Texas. In Texas, subsequent hospital care is charged $9,471, compared with a Medicare fee of $100, and a tendon sheath incision is charged $39,450, compared with Medicare's $547.
However, the American Medical Association called the report's methodology misleading because it only focuses on a handful of examples out of billions of medical bills filed annually.
More Articles on Coding, Billing and Collections:
Knowing Relative Value Units Can Leverage Payor Payment Increases
Healthcare Leaders Discussed Medicare Payment Alternatives at AMA Summit
Common Coding Mistakes in Ambulatory Surgery Centers: 6 Best Practices (Part 3 of 3)
© Copyright ASC COMMUNICATIONS 2012. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.
To receive the latest hospital and health system business and legal news and analysis from Becker's Hospital Review, sign-up for the free Becker's Hospital Review E-weekly by clicking here.
New from Becker's ASC Review
AMA: 5 Things to Consider When Interpreting Medicare Physician Payment DataRead Now
- 5 Things to Know About Medline's Acquisition of Spine Technology From Amendia
- 7 Things to Know About Collect Rx
- Guy A. Medaglia, Cynthia Moore-Hardy, and Sharon O'Keefe to Speak at Becker's Hospital Meeting
- 15 CPT & Coding Issues for Orthopedics & Spine
- 4 Key Questions for Identifying Potential Future Leaders at Your Organization