BCBS of Illinois terminated its contract with Springfield (Ill.) Clinic last year but failed to appropriately update network adequacy filings in November. The termination knocked 100,000 covered patients out of network with the practice, surgery center and endoscopy center.
The state requires health plans to report material changes to approved network plans to the Illinois Department of Insurance within 15 days of the change, and BCBS of Illinois was 244 days late.
The state assessed BCBS of Illinois a $339,000 fine.
Read more about the fine here.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.