As healthcare costs continue to rise, patients are becoming increasingly concerned about surprise medical bills. These unexpected charges can occur when a patient receives care from an out-of-network provider, even if they are treated at an in-network facility. To address this issue, Congress passed the No Surprises Act in 2020, which aims to protect patients…
Introduction The COVID-19 pandemic has brought about significant changes in the healthcare industry, including how medical services are billed and paid for. With the increased demand for testing and treatment related to the virus, healthcare providers have had to navigate new challenges in processing claims and receiving reimbursement from payors. In this article, we will…
In light of the COVID-19 pandemic, the federal government declared a public health emergency (PHE) in early 2020. As a result of this declaration, healthcare providers have experienced an increase in the volume of COVID testing claims. However, disputes over the recoupment of these claims have arisen, leading to challenges for both healthcare providers and…
The COVID-19 pandemic has had a significant impact on healthcare systems worldwide. As part of the response to the pandemic, there has been an increased demand for COVID testing services. Many healthcare providers have been performing COVID tests for their patients, with the expectation that they will be reimbursed for these services. However, in some…
As the COVID-19 pandemic continues to impact the healthcare industry, many payors are facing challenges related to the reimbursement of COVID testing claims. During the Public Health Emergency (PHE), there are special conditions under which payors can recoup COVID testing claims. In this blog post, we will explore these conditions in detail and provide insights…
Introduction Since the outbreak of the COVID-19 pandemic, clinical diagnostic labs have played a crucial role in testing for the virus and helping to curb the spread of the disease. With the increased demand for testing, the process of recouping COVID testing claims has become a significant issue for these labs. This article will explore…
Introduction The COVID-19 pandemic has had a significant impact on healthcare systems worldwide. From overwhelming hospitals to disrupting supply chains, the virus has created numerous challenges for providers, payors, and patients alike. One crucial aspect that has come under scrutiny during this time is the billing and reimbursement processes for COVID testing. Background At the…
Introduction As the world continues to battle the COVID-19 pandemic, testing has become a critical tool in curbing the spread of the virus. With the increased demand for COVID testing, healthcare providers are faced with the challenge of ensuring timely payment for these services. In this article, we will explore the importance of timely payment…
Since the start of the COVID-19 pandemic, testing has been a critical aspect of controlling the spread of the virus. As a result, healthcare providers have been performing a significant number of COVID-19 tests, with payors, such as insurance companies and government programs, responsible for covering the costs. However, payors may encounter limitations when trying…
The COVID-19 pandemic has brought about a surge in demand for diagnostic testing, leading to increased scrutiny and challenges for clinical diagnostic labs. With the evolving landscape of payer policies and regulations, questions arise on whether payors can recoup COVID testing claims during the Public Health Emergency (PHE). In this article, we will explore the…