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AMA tries turning table on common prior authorization rationale • What's next in a maskless Illinois?

Crain's Health Pulse is your source for actionable, exclusive and inside news on the health care industry. ....

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In New Court Motion, Major Medical Societies Argue No Surprises Act Rule Violates Law Passed by Congress

/PRNewswire/ In a motion for summary judgement filed today, the American Society of Anesthesiologists (ASA), American College of Emergency Physicians (ACEP). ....

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In New Court Motion, Major Medical Societies Argue No Surprises Act Rule Violates Law Passed by Congress

/PRNewswire/ In a motion for summary judgement filed today, the American Society of Anesthesiologists (ASA), American College of Emergency Physicians (ACEP). ....

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Congress passes surprise medical billing fix - State of Reform

Congress passes surprise medical billing fix
Emily Boerger | Dec 22, 2020
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Language included in the recently-passed $900 billion COVID-19 relief package will finally ban the practice of surprise medical billing – an achievement several years in the making. Congress passed the relief bill Monday night and it is awaiting President Trump’s signature.
Surprise billing happens when an individual unexpectedly receives medical care from an out-of-network provider. This can occur when a patient receives emergency services at an out-of-network emergency room, or when an out-of-network providers delivers care at an in-network facility.
A data review published by Health Affairs states that in 2014, one in five inpatient emergency department cases, 14% of outpatient visits to the ED, and 9% of elective inpatient admissions likely resulted in a surprise medical bill. ....

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