Click here to read about Understanding Balance Billing…
Update!! PCCOT has just met with the Texas Attorney General Consumer Protection Division concerning delisting, zero to minimal reimbursements, and other issues, which negatively affect providers.
Senate Bill 507 will become law September 1st, 2017. To those In-Network and Out-of-Network who suffer from weak reimbursements from Insurance Carriers, this law will positively affect you!!
With the passage of Senate Bill 507, PCCOT members will now have access to mediation in those situations where zero to minimal reimbursements occur. For more information on how to benefit from this legislation, contact us at (832)877-0800 or PCCOT@yahoo.com.
Food For Thought, “How fair would it be for the IRS to use Extrapolation when auditing your taxes??” Moreover, Insurance Carriers should not be able to Extrapolate when auditing health Insurance Claims.
By using Extrapolations, Insurance Carriers can CLAW BACK reimbursements of procedures that have already been preauthorized.
Audit Extrapolations by Insurance Carriers DO NOT take into consideration individual claims. Rather, they assume/infer information that IS NOT known.
House Bill 1649 passes the House Floor upon 3rd Reading and is now heading to the Senate.
I mentioned on Facebook yesterday that I am not that big a fan of election years, and here’s a case in point. At this moment, #NeverTrump is all the rage among conservatives, and there’s a tremendous push to get Republican primary voters united behind one remaining Trump rival to take the nomination away from him.…
TDI releases report on PPO out-of-network payments The Texas Department of Insurance today released the results of a survey that looked at out-of-network payments by preferred provider organizations (PPOs) for certain services. The survey found that most plans comply with the state requirement to pay such claims “at the usual or customary charge for the service.” TDI…