Hospitals are losing money because of covid, and many of them will resort to improper billing to make up the difference. If you’re having any kind of procedure, check what’s covered. Via MedPageToday:
“Nearly one in eight commercially insured patients undergoing elective colonoscopy with in-network providers incurred out-of-network costs, researchers found — potentially leading to illegal “surprise bills.”
“In an analysis of a national claims database, and among 118,769 elective colonoscopies with in-network endoscopists and facilities, 12.1% (95% CI 11.2-13) involved out-of-network claims. The median potential surprise bill was $418, according to James M. Scheiman, MD, of the University of Virginia in Charlottesville, and colleagues (“potential” because the investigators didn’t have access to actual bills, but instead made estimates based on records of in- versus out-of-network coverage).
“Of particular concern was that one in 12 procedures without an associated intervention still had an out-of-network claim, they explained in a brief research report in the Annals of Internal Medicine.
“This outcome is disconcerting because Section 2713 of the Patient Protection and Affordable Care Act [ACA] eliminates consumer cost sharing for screening colonoscopy and because a recent Federal Reserve study reported that 40% of Americans do not have $400 to cover unexpected expenses,” the investigators wrote.”