Decatur Memorial facility fee draws patient fire after implementation

Decatur (Ill.) MemorialHospital’s decision to implement a provider-based billing fee at its ambulatory facilities prompted backlash from the community, reports WAND News.

Advertisement

The hospital began applying provider-based billing to outpatient facilities and physician offices in September 2016. Before that, provider-based billing only applied to acute care departments. Now frontline staff at Decatur’s urgent care and ambulatory clinics must present patients with consent forms explaining the additional charge.

Still, the fee sparked outrage from community residents who have taken to social media to express their discontent. Some patients refused to sign the consent form altogether.

This discontent represents a national trend of Americans’ increasing frustration with the cryptic and archaic nature of medical billing.

Hospital officials said the extra fee is necessary to receive full reimbursement for Medicare services.

Katie Anderson, vice president of legal affairs and corporate compliance at DecaturMemorialHospital, said, “DMH did not arbitrarily choose to start charging this fee. We had to do this in order to get the full benefit of that federal program which allows us to serve low income patients that need our help.”

More articles on revenue cycle management issues: 

RCM tip of the day: Create a robust revenue cycle process
Financial stability in a fluid market
Georgia fireworks tax would fund hospitals’ uncompensated care costs

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.

Download Whitepaper

The cost-saving opportunity most health systems overlook

Many hospitals and health systems scrutinize staffing, service lines, and payer contracts for savings. Fewer look at one of their largest assets: real estate.…

Advertisement

Next Up in Financial Management

Advertisement

Comments are closed.