Here are five things to know:
1. Blue Cross & Blue Shield of Louisiana allegedly sent payments equaling $411,761.40 to patients instead of the hospital, which is required by the hospital’s contract. St. Charles Surgical Hospital had submitted an assignment of benefits to Blue Cross & Blue Shield of Louisiana but did not directly receive payment.
2. The surgical hospital is seeking reasonable damages, court costs, attorney fees and all appropriate relief from the payer, according to the report.
3. St. Charles Surgical Hospital filed the suit on Dec. 29, 2017. The hospital had previously filed a lawsuit against Blue Cross & Blue Shield of Louisiana on Feb. 10, 2017, alleging the payer owed it $72,926.94 that was directly sent to patients instead of the hospital.
4. St. Charles Surgical Hospital has nine physicians on staff focusing on breast surgery, oncology and orthopedics.
More articles on healthcare:
30 statistics on ASC payer mix as a % of collections
Moving GI data to the cloud in the era of healthcare consolidation
Mission Health sells Asheville Surgery Center property for $14.7M after 2016 purchase from physicians: 5 things to know
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.