Patients Are Fed-up!

Surprise medical billing has become a nuisance that extends beyond the traditional concept of being an “out of network” issue.

Patients are reporting getting unexpected medical bills for services at in-network/participating entities too. And their cry for help is no longer falling on deaf ears.

Federal Regulations Now Underway

It’s safe to say that some of the federal laws will be changing and your billing practices will be affected. Several initiatives are now being made at the federal level to push legislation to end surprise medical billing. The goal: protecting patient rights.


Combat Surprise Medical Billing

There are several things you can do to ensure that you are never the causing denominator of this issue amount your patients. Below are a few suggestions that I recommend:

  1. Educate Your Staff. The internal collection practices of your office should be held as the standard of how to execute business. Give them the resources they need to execute your collection process efficiently implement them when servicing your patients.
  2. Secure SIGNED ABNs from your patients when suggesting for services that may not be payable by Medicare and other insurers.
  3. Be thorough in your consultations with your patients. Your reputation is at stake here! Your job as a provider is to safeguard the rights of your patients. Guarantee that patients have a sound understanding of what services could increase their out of pocket costs even AFTER they have signed an ABN.
  4. Deploy timely invoicing. This is the most crucial aspect. There’s nothing worse than receiving a bill 2 to 3 years after the initial visit. Now, understandably there are different factors that can cause a delay in billing. However, always do your best to strive for fair billing practices.

Critical Thinking | Applying Action

  1. Have you identified any causes that perpetuate this issue in your practice?
  2. What other changes can be implemented among your staff to help alleviate surprise billing for your practice?

Since 2001, Simone Harris has developed a solid foundation in administrative healthcare services and business development. She has 18+ years within the healthcare sector and serves as the Executive of Business of Operations and Compliance Officer. Modified Solutions is furnished with professional medical administrative resources that are firmly rooted in compliance, integrity, and innovation. To learn more visit