Overall, Medicaid is a vital resource for individuals and families who cannot afford health insurance. By providing comprehensive coverage for a wide range of healthcare services, Medicaid ensures that low-income individuals have access to the medical care they need to maintain their health and well...
for profit. These tiny interventions don't yield huge bills — in the hundreds rather than the thousands of dollars — but, cumulatively, they likely add up to tens if not hundreds of millions of dollars for doctors and hospitals annually. The surprise bills often catch patients off guard. ...
"It's definitely gotten worse over the past year. We've helped three to four dozen people this year already,"saidErin Kinard, director of systems and intake for the Health and Economic Opportunity Program at Pisgah Legal Services in North Carolina, which helps low-income families enroll...
Government intervention is increasingly popular across the U.S. Eight states have imposed limits on insulin out-of-pocket costs or co-pays, but some of those laws don’t apply to uninsured patients or to Medicare, Medicaid, insurance based in a different state, or some employer-provided insura...
In the wrong hands, your Medicare number may be used for a variety of scams including filing for false claims and reimbursements. Just recently, a cardiologist from Long Island billed Medicare and Medicaid $1.3 million for unneeded tests on patients [*]. ...
2. Bill for made-up medical services Healthcare providers may use your information to fraudulently bill insurance institutions for services they didn’t render. For instance, a doctor may attend to 20 patients throughout the week but bill for 200 using other patients' data. This fraudulent act...
According to federal guidelines for Medicare and Medicaid, every provider must be individually credentialed with all services billed under the rendering provider. Be sure that everyone who touches a claim or billing documentation understands these and all regulations around compliance that c...
State Medicaid programs must provide coverage without cost-sharing for testing until September 30, 2024. After that date, coverage may vary by state. While vaccines will continue to be free of charge for those with private insurance who use in-network providers, patients seeing out-of-network pr...
Clinicsalready receive enhanced payments to provide primary care to Medicare and Medicaid patients. However, the Federally Qualified Health Centers, which are more prevalent in urban areas,can billfor a wider array of mental health and substance use treatment services than the Rural Health Clinics ...
If Medicaid patients were all they treated, hospitals would go broke, or at least, turn into ramshackle dumps. Basically, it’s a way of making everyone pay for the medical care of the poor without having it show up on the government books. It is also understandable why rat...