No Surprises Act (NSA) and TDI IDR/Mediation
The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services,...
No Surprises Act (NSA) and TDI IDR/Mediation
The No Surprises Act protects people covered under group and individual health plans from receiving surprise medical bills when they receive most emergency services,...
Qualifying Payment Amount (QPA), How QPA is Calculated?
The qualifying payment amount (QPA) is the basis for determining individual cost sharing for items and services covered by the balance-billing protections in the...
NSA and Balance Billing Laws by State
No Surprises Act (NSA) established new federal protections against surprise medical bills and balance billing, which took effect on 1st Jan, 2022.
State-regulated insurance plan...
No Surprises Act (NSA), Federal IDR, and how does it work?
The 2020 No Surprises Act (NSA) established new federal protections against surprise medical bills and balance billing, which took effect on January 1, 2022.
For...
Updated List of Freestanding Emergency Rooms in Texas
What is a Freestanding Emergency Room?
A freestanding emergency department (FSED) is a licensed facility that is structurally separate and distinct from a hospital and...
Ultrasound CPT Codes 2022
Diagnostic Ultrasound Procedures CPT Code range 76506- 76999. The Current Procedural Terminology (CPT) code range for Diagnostic Ultrasound Procedures 76506-76999 is a medical code...
Understand and Recognize the Types of CPT Codes 2022
What are CPT Codes?
Current Procedural Terminology, more commonly known as CPT codes, refers to a set of medical codes used by physicians/providers, non-physician practitioners,...
CPT Category Codes by Specialty 2022
Current Procedural Terminology, more commonly known as CPT, are a set of medical codes used by health professionals, physicians, non-physician practitioners, hospitals, outpatient facilities,...
How Important is Financial and Clinical Reporting for Healthcare?
Healthcare professionals must keep top of mind the fact that reporting is a huge part of both financial and clinical records. It can be...
Major Hospitals Still Not Complying with Price Transparency Rule
Many of the largest hospitals in the country are still not complying with a new price transparency rule that went into effect on Jan....