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Three Questions You Should Be Asking to Determine if the No Surprises Act Applies to You

How do the billing protections established under the No Surprises Act impact my group?This is what everyone is asking. It’s a very complex question that isn’t answered with a simple yes or no. However, listed below are three questions you should ask to determine if any of your services are impacted by the No Surprise Act legislation.*  Is the...

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No Surprises Act: Your Top Questions Answered - Part 2

This blog is part two of a blog series focusing on answering the most common questions regarding the No Surprises Act. View Part One, which focused on questions related to providing a good faith estimate and obtaining patient consent.The No Surprises Act (NSA) — which provides patient protections by addressing surprise billing and banning balance billing — has many people wondering which parts of...

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United Healthcare Expanding Designated Diagnostic Provider Program to Imaging Providers

United Healthcare has launched the Designated Diagnostic Provider (DDP) program for laboratory and major imaging services. In 2021, the program was implemented for laboratory facilities and is now expanding to include major imaging services in 2022. According to United Healthcare, the program is designed to help improve member access to quality care and reduce member healthcare costs.  As part of...

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No Surprises Act: Your Top Questions Answered - Part 1

The No Surprises Act (NSA), which went into effect on January 1, has many providers scrambling. The No Surprises Act provided protections for patients who unknowingly receive care from an out-of-network provider by addressing surprise billing and banning balance billing. Implementing the requirements of the No Surprises Act will require a new level of coordination between providers, payors, and...

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Preparing for the No Surprises Act: Learn How Your Billing Solution Can Help

Effective January 1, 2022, the No Surprises Act (NSA) established new federal protections against surprise medical bills and balance billing for services received from out-of-network providers. The Act applies to emergency and non-emergency services provided by all healthcare providers and all commercial health plans. The No Surprises Act is not applicable to Medicare and Medicaid programs,...

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Top 5 Blogs Posts of 2021

With ongoing COVID-driven disruptions, 2021 was yet another challenging year for the healthcare industry. XIFIN's Beyond Billing blog kept pace, addressing key issues and hot topics. Here are the top blogs of 2021. 1. UHC Announces Designated Diagnostic Provider Requirements for CoverageWhen UHC announced plans to implement the Designated Diagnostic Provider benefit designs beginning July 1, 2021...

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Proposed Changes to Hospital Price Transparency Rule: Radiology, Laboratory and Pathology Impacted

The Hospital Price Transparency Rule was introduced to help patients identify the cost of hospital items or services before receiving care.  Under the rule, hospitals are required to provide clear, accessible pricing information online in two ways:A comprehensive machine-readable file containing standard charges for all items and services provided by the hospital. A consumer-friendly list of...

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XIFIN Acquisition Demonstrates Commitment to Radiology Market

Mirroring other segments of the diagnostic healthcare market, radiology practices and imaging centers are challenged with increasing case volume amid declining payor reimbursements and client fee reductions.Announced July 7th, XIFIN’s acquisition of Computerized Management Services (CMS), Inc. represents a sustained commitment to the radiology market. The agreement broadens XIFIN’s reach in this...

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