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2019 Update on Balance Billing and Texas Health Insurance Law
/in Medicare, ACA, & Payment Issues/by Scott ChaseThis article updates the prior article, “Balance billing and Texas healthcare law.” “Balance billing” occurs when doctors, hospitals, or other health care providers who are not contracted with a patient’s health maintenance organization (HMO) or preferred provider benefit plan (PPO) bill the patient for the difference between the amount the health plan pays and the […]
What is the status of ObamaCare, and why should I care?
/in Medicare, ACA, & Payment Issues/by Scott ChaseRegardless of your position on the Affordable Care Act, otherwise known as ObamaCare (“ACA”), you should neither panic nor rejoice just yet over the actions and inactions of the United States government regarding this healthcare insurance law. You have probably read about the various options, i.e., “repeal and replace,” “repeal and delay,” or simply “repeal” […]
Balance billing and Texas healthcare law
/in Medicare, ACA, & Payment Issues/by Clara EvansBalance billing occurs when doctors, hospitals, or other health care providers who are not contracted with a patient’s HMO or preferred provider benefit plan (PPO) bill the patient for the difference between the amount the health plan pays and the amount the provider believes to be the adequate cost of a service. For example, a […]
Affordable Care Act employer information
/in Medicare, ACA, & Payment Issues/by Jennifer SnowThe Affordable Care Act is a federal statute that creates new responsibilities for employers. Employers who have fewer than 25 “full-time equivalent” employees can qualify for a small business health care tax credit if they pay at least 50% of the employees’ health insurance premium costs and offer coverage through the Small Business Health Options […]