Surprise Balance Billing Study Raises Serious Questions
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Intro: Cooper paper sets organized EM back a pace This summer Zack Cooper et al gave a kick in the teeth to efforts by ACEP, EDPMA, and Physicians for Fair Coverage to try to reframe the message about balance billing … Continue reading

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Bundled Payments and Emergency Care
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A recently published article in Academic Emergency Medicine by Nedza, et al, “Emergency Department Visits Following Joint Replacement Surgery in an Era of Mandatory Bundled Payments”, made it pretty clear that emergency departments and emergency physicians play a significant role … Continue reading

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Are Usual and Customary Charges Reasonable?
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In State legislative offices throughout the country where the issue of out-of-network physician charges, balance billing, and plan benefits are being debated, the constant refrain from health plan representatives is that usual and customary charges are an ‘unacceptable standard’ for … Continue reading

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Emergency Physicians Sue the Feds: Backstory
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The decision by an organization representing some 30,000 emergency physicians (ACEP) to sue the federal government suggests a level of frustration serious enough to overcome the threat of retaliation by bureaucrats who control many of the decisions and rules affecting … Continue reading

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Hospital Charges: Should Physicians Care ?
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Recently my primary care physician ordered some screening lab tests for me, some of which may not be covered by Medicare. Since he has long been associated with one of the local hospitals (he was recently Chief of the Medical … Continue reading

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