Remove Billing Remove Insurance Remove Tests
article thumbnail

Do I Really Need That? Patients Wary of Conflicts of Interest in Healthcare

Scrubs

Providers are typically paid for each test and procedure they perform, which can lead to a conflict of interest, especially when patients have to foot the bill. New studies reveal just how widespread medically unnecessary care can be, forcing patients to pay for procedures and tests they may not need.

Tests 230
article thumbnail

Work Environments for a Medical Billing & Coding Specialist

Northwest Career College

If you are considering pursuing a career in medical billing and coding, you may have questions like where you will be able to work after receiving your certification or license. Many healthcare settings require the services of medical billing and coding specialists for record organization and management, insurance claims, and billing.

Billing 40
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Transparency in Healthcare: How Consumers Are Taking Control of Their Medical Information

Scrubs

Under HIPAA’s privacy rule, all patients have the right to inspect, review, and receive a copy of their medical records and billing records that are held by health plans and health care providers. Claims records are not the same as clinical records, and they typically don’t include test results and diagnostic information.

article thumbnail

Rising Healthcare Costs in 2025: What Providers Can Do to Manage the Impact  

CollaborateMD

The findings also point out that much of the costs result from the burden and time associated with dealing with specific practices that insurers have put in place around prior authorization and delays in payments. Higher prices for medical services, medications, and insurance premiums directly impact patients’ out-of-pocket expenses.

Billing 84
article thumbnail

People With Medical Debt Are Much More Likely to Be in Financial Distress in America

Health Populi

Health Populi’s Hot Points: Having health insurance in the U.S. See the third chart, where KFF/Peterson Center looked at the consumer’s insurance status, state of medical debt and health care service impact — in Health Populi lingo we use the phrase, “self-rationing behavior due to cost.”

article thumbnail

What One Hospital’s Slow Recovery From a Cyberattack Means for Patients

Scrubs

They relied on pen and paper for medical records and notes, and sent runners between departments to take orders and deliver test results. The hospital’s billing department was also crippled. For months afterward, they were unable to bill insurance plans to be paid in a timely fashion. A few hours after that 3 a.m.

Insurance 186
article thumbnail

The Infomercial Comes to The Wall Street Journal

Sensible Medicine

. “The Centers for Medicare and Medicaid Services should make establishing payment codes for products involving women’s heart disease a priority to prompt private insurers to cover new service lines.” Insurers will be forced to raise rates to cover this new charge. What would I foresee as happening if CMS took action?

Tests 181