How much does an antigen test for COVID-19 cost? That depends.

A COVID-19 antigen test looks for pieces of proteins from the surface of the SARS CoV-2 virus to determine if the person has an active infection. It is faster and less expensive than the molecular or PCR test, but the latter is more accurate. How much does an antigen test for COVID-19 cost? That depends. […]

Strategies for Reducing the Cost of Medical Group Billing

The admin costs for running a medical practice today are higher than ever and it is vital that every practice reduce expenses in a thoughtful way that doesn’t create a negative impact on revenue. With the right plan in place any practice can make significant improvements in operating efficiency. How much is the overhead for […]

We Can Work It Out:The No Surprises Act Part 4:

On September 30, 2021, the Departments of Health and Human Services (HHS), Labor, and the Treasury, alongside the Office of Personnel Management (OPM), issued a new Interim Final Rule (IFR) to implement components of the No Surprises Act (NSA). The IFR issued regulations about the Patient/Provider Dispute Resolution (PPDR) Process, the dispute resolution process between […]

Ballpark FiguresThe No Surprises Act Part 3:

For uninsured and self-paying individuals: Good Faith Estimates (GFE) On September 30, 2021, the Departments of Health and Human Services (HHS), Labor, and the Treasury, alongside the Office of Personnel Management (OPM), issued a new Interim Final Rule (IFR) to implement components of the No Surprises Act (NSA). The IFR spelled out components of the […]

No Surprises Act Part 2: the new HHS Interim Final Rule

On September 30, 2021, the Departments of Health and Human Services (HHS), Labor, and the Treasury, alongside the Office of Personnel Management (OPM), issued a new Interim Final Rule (IFR) to implement components of the NSA. One aspect this rule addresses is the independent dispute resolution (IDR) process to resolve payment disputes between payers and […]

No Surprises Act Part 1: Why It Was Enacted and the new HHS

The No Surprises Act The No Surprises Act, passed by Congress and signed by President Trump in December 2020, was designed to protect consumers from receiving unexpected medical bills. The law, which went into effect on January 1, 2022, addresses payment, Good Faith Estimates for billing, dispute resolution for both insured and self-paying patients, balance […]