New Illinois Law Prevents Some Providers From 'Balance Billing' Patients for Care at In-Network Surgery Centers
The new law took effect June 1. "Balance billing" occurs when a healthcare provider receives a payment from a patient's insurer, then bills the patient directly for the difference between the amount charged and the amount paid by the insurer. Insurers typically use provider contracts that prohibit in-network providers from "balance billing" plan members, but patients who seek out-of-network care typically have no guard against balance billing.
Lawyers at McDonald Hopkins LLC in Chicago have argued in a suit filed recently at the U.S. District Court for the Northern District of Illinois that the balance billing law is unconstitutional. They allege that the idea of applying balance billing restrictions to only a few types of physicians is arbitrary and unfair.
Read the Life and Health Insurance report on the new Illinois law.
Related Articles on Coding, Billing and Collections:
Connecticut to Set Up Board to Develop Health Insurance Exchange
Disparity Between Rural, Urban Health Insurance Cost Increases in Iowa
Romney Advisor Supports Health Reform Laws, Insurance Exchanges
© Copyright ASC COMMUNICATIONS 2016. 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.
- American College of Physicians names AmSurg's Dr. Robert Musselman a fellow; Nobilis names Kenneth Efird president & more — 6 key notes on ASC companies
- 3 challenges ASC face in multidisciplinary antibiotic stewardship program implementation
- Olympus under fire: Internal emails reveal US execs told not to issue warning about possible fatal scope infection — 10 takeaways
- 6 key concepts for smart staffing at ASCs
- 5 trends in the surgery center & emergency center markets