Patients overwhelmed with out-of-network bills: 5 insights

About one third of Americans experienced medical charges uncovered by their insurance, based on a Kaiser Family Foundation survey, according to Health News Florida.

Advertisement

Here are five insights:

1. Many insured Americans are unaware they sought out-of-network care until they receive hefty bills later.

2. Of those surveyed, 70 percent of patients reported they were unaware those medical services weren’t covered.

3. Often, costly medical fees occur following medical emergencies where patients are hospitalized. When other physicians, like anesthesiologists and radiologists, provide care, out-of-network rates will often be applied.

4. Average out-of-network emergency services cost about $7,000, according to a 2011 New York state study.

5. New York established legislation mandating payers and hospitals confer to resolve out-of-network charges incurred by emergency situations.

More articles on coding, billing & collections:
6 things to know about Patient First not accepting new Anthem patients
California lawmakers reveal new health plan tax proposal — 6 insights
Arizona House panel green lights children’s health insurance bill — 5 takeaways

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.

Advertisement

Next Up in ASC Coding, Billing & Collections

Advertisement

Comments are closed.