DecisionHealth, DecisionHealth - 2011 Issue 5 (May)

Proposal to curb balance billing might win states' favor

Reassess the way you balance bill members of private payers when you’re an out-of-network provider. More states than ever are taking action to restrict or regulate the practice. Balance billing occurs when you charge a patient the difference between your provider’s usual charge and what the patient’s insurer paid you for the service. The use of balance billing by physicians has long been a subject of controversy.

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