360 Revenue Billing Agency
Medical billing and coding company located in Lincoln, NE, providing complete billing services inclu
According to a recent study by the Medical Group Management Association, healthcare providers who outsource their billing and coding save an average of 20% on their billing costs.
In addition to the financial savings, outsourcing your medical billing and coding can also free up your staff to focus on patient care. This can lead to improved patient satisfaction and increased revenue.
If you are considering outsourcing your medical billing and coding call us today (531) 500-5838 or e-mail [email protected].
Let us do the billing so you can focus on the healing!
360 Revenue Billing Agency Medical billing and coding company located in Lincoln, NE, providing complete billing services inclu
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No Surprises: Understand your rights against surprise medical bills
The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services, non-emergency services from out-of-network providers at in-network facilities, and services from out-of-network air ambulance service providers. It also establishes an independent dispute resolution process for payment disputes between plans and providers, and provides new dispute resolution opportunities for uninsured and self-pay individuals when they receive a medical bill that is substantially greater than the good faith estimate they get from the provider.
Starting in 2022, there are new protections that prevent surprise medical bills. If you have private health insurance, these new protections ban the most common types of surprise bills. If you’re uninsured or you decide not to use your health insurance for a service, under these protections, you can often get a good faith estimate of the cost of your care up front, before your visit. If you disagree with your bill, you may be able to dispute the charges. Here’s what you need to know about your new rights.
What are surprise medical bills?
Before the No Surprises Act, if you had health insurance and received care from an out-of-network provider or an out-of-network facility, even unknowingly, your health plan may not have covered the entire out-of-network cost. This could have left you with higher costs than if you got care from an in-network provider or facility. In addition to any out-of-network cost sharing you might have owed, the out-of-network provider or facility could bill you for the difference between the billed charge and the amount your health plan paid, unless banned by state law. This is called “balance billing.” An unexpected balance bill from an out-of-network provider is also called a surprise medical bill.
People with Medicare and Medicaid already enjoy these protections and are not at risk for surprise billing.
What are the new protections if I have health insurance?
If you get health coverage through your employer, a Health Insurance Marketplace®,[1] or an individual health insurance plan you purchase directly from an insurance company, these new rules will:
Ban surprise bills for most emergency services, even if you get them out-of-network and without approval beforehand (prior authorization).
Ban out-of-network cost-sharing (like out-of-network coinsurance or copayments) for most emergency and some non-emergency services. You can’t be charged more than in-network cost-sharing for these services.
Ban out-of-network charges and balance bills for certain additional services (like anesthesiology or radiology) furnished by out-of-network providers as part of a patient’s visit to an in-network facility.
Require that health care providers and facilities give you an easy-to-understand notice explaining the applicable billing protections, who to contact if you have concerns that a provider or facility has violated the protections, and that patient consent is required to waive billing protections (i.e., you must receive notice of and consent to being balance billed by an out-of-network provider).
What if I don’t have health insurance or choose to pay for care on my own without using my health insurance (also known as “self-paying”)?
If you don’t have insurance or you self-pay for care, in most cases, these new rules make sure you can get a good faith estimate of how much your care will cost before you receive it.
What if I’m charged more than my good faith estimate?
For services provided in 2022, you can dispute a medical bill if your final charges are at least $400 higher than your good faith estimate and you file your dispute claim within 120 days of the date on your bill.
What if I do not have insurance from an employer, a Marketplace, or an individual plan? Do these new protections apply to me?
Some health insurance coverage programs already have protections against surprise medical bills. If you have coverage through Medicare, Medicaid, or TRICARE, or receive care through the Indian Health Services or Veterans Health Administration, you don’t need to worry because you’re already protected against surprise medical bills from providers and facilities that participate in these programs.
What if my state has a surprise billing law?
The No Surprises Act supplements state surprise billing laws; it does not supplant them. The No Surprises Act instead creates a “floor” for consumer protections against surprise bills from out-of-network providers and related higher cost-sharing responsibility for patients. So as a general matter, as long as a state’s surprise billing law provides at least the same level of consumer protections against surprise bills and higher cost-sharing as does the No Surprises Act and its implementing regulations, the state law generally will apply. For example, if your state operates its own patient-provider dispute resolution process that determines appropriate payment rates for self-pay consumers and Health and Human Services (HHS) has determined that the state’s process meets or exceeds the minimum requirements under the federal patient-provider dispute resolution process, then HHS will defer to the state process and would not accept such disputes into the federal process.
As another example, if your state has an All-payer Model Agreement or another state law that determines payment amounts to out-of-network providers and facilities for a service, the All-payer Model Agreement or other state law will generally determine your cost-sharing amount and the out-of-network payment rate.
Where can I learn more?
Still have questions? Visit CMS.gov/nosurprises, or call the Help Desk at 1-800-985-3059 for more information. TTY users can call 1-800-985-3059
Hello everyone. The main goal of 360 RBA is to help providers get paid for their services in a timely fashion. With my company, I offer complete billing for the services including data entry and claim submission, payment processing, patient billing, payer follow-up, and enrollemnt processing. I am currently offering lower billing rates as well as free credentialing until the end of January. If I can be of any service to you or your company please message me or call 531-500-5838.
Why Outsource to a Medical Billing and Coding Company?
Errors such as under pricing, under coding, and missed charges will lead to a great loss in the income of your medical practice. Outsourcing to a medical billing and coding company minimizes billing errors and ensures timely reimbursement for services. With 360 Revenue Billing Agency(360 RBA) you can transform the way in which your healthcare facility functions. Regardless of the size/specialty of your practice, 360 RBA offers you complete and fully integrated medical billing and coding services. For more information contact us at (531) 500-5838 or e-mail [email protected].
Let us do the billing so you can focus on the healing!
Revenue cycle management is our focus, and we will work hard to increase your practice revenue by 20% or more during the first 90 days. We will also provide extraordinary customer service to you and your patients as well as excellent service that you can depend on for all your billing needs.
Claim Submission
Whether electronic or paper, we get your claims to payers promptly
Payment Processing
We take on the painstaking process of posting paper and electronic remittances
Patient Billing
We print and mail patient statements on your organization's behalf
Payer Follow-Up
We handle the re-work for denials and follow-up on claims without responses
Enrollments Processing
Complete, error-free credentialing when you need it, as well as re-credentialing services.
Managed Care Contracts
We can handle accurate, rapid-entry credentialing for physician and non-physician practitioners.
For more information contact us at (531)500-5838 or email us at [email protected]
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