A $20.5 million CVS settlement over web tracking shows how AI and data tracking without patient consent invite lawsuits and enforcement.
|Articles|October 1, 2007
Charge Allowable
When a patient has a high-deductible form of insurance, should we collect our total charge amount or should we charge the patient based on the approved amount by the insurance company?
Advertisement
Question: When a patient has a high-deductible form of insurance, should we collect our total charge amount or should we charge the patient based on the approved amount by the insurance company?
Answer: According to expert Owen Dahl, you must use the approved fee schedule or allowable at the maximum amount, not your normal fee schedule.
Advertisement
Related to this article
Career ladders, pay tied to specific skills and reviews held on a single date can help practices hold on to medical assistants and front-desk staff, according to BackPocket Talent's Rachel Brace and Nicole Hart.
About 34 percent of medical groups have built their own tools with AI. Check HIPAA, code ownership and insurance before yours goes live.
Pew found 72 percent of adults want to know when AI touches their care. Only 16 percent say a doctor has ever told them.
CMS dropped 760,000 marketplace enrollees in a fraud sweep. Real-time eligibility checks keep the fallout from turning into denials.
Florida's proposed school vaccine rule also rewrites DH 680, DH 681 and the Florida SHOTS forms and provider agreements.
Traditional MIPS would end after 2028 under a CMS proposal. Practices that want an MVP for 2026 must register by Nov. 30 at 8 p.m. EST.
Wisconsin APRNs can now apply to practice without a collaborating physician, but Medicare billing rules may still require one.
Advertisement
Advertisement
Trending on Physicians Practice
1
18 EHR settings your practice never changed from the default
2
As CMS moves to end traditional MIPS, practices face a Nov. 30 MVP deadline
3
Medicare's plan to pay half for same-day care, with Anders Gilberg of MGMA
4
The intersection of privacy, AI, data tracking and enforcement
5