Modern Healthcare reports that states are tackling high hospital prices by restricting facility fees, despite a "lag" in federal-level policy. Meanwhile, labor shortages and other pressures could force more providers to shed personal care services.
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Most states have statutes or common law that allow an insurance policyholder to bring a civil action and seek more than just compensatory damages (e.g., punitive damages) when her.
The Medicare appeals process starts well before the first level listed above when a provider receives a medical records request, also known as an additional records request. These requests can come from different Medicare contractors, for example, a MAC or a UPIC.