Bill AB 72 will require physicians bill patients at in-network rates, or 125 percent of the Medicare rate, if a patient inadvertently receives care from an out-of-network physician, such as an assisting surgeon or anesthesiologist. Legislators will establish an independent review board to address and resolve disagreements between physicians, health plans and patients.
“This is a big win for Californians who have been left with the financial scars from a battle that’s really between insurers and providers,” Betsy Imholz, special projects director for Consumers Union, told KQED.
More articles on revenue cycle management:
Fortune-telling in revenue cycle management: Patient personas and propensities to pay
ZirMed named #1 RCM software solution for large hospitals and medical centers
Premier taps Signature for billing and collections services
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.