Rapid review of “No surprise” medical billing in the United States: Stakeholder perceptions and challenges
C Lieneck, M Gallegos, M Ebner, H Drake, E Mole… - Healthcare, 2023 - mdpi.com
Surprise medical bills received after care delivery in both emergency and non-emergency
situations for out-of-network (OON) or other contractual health plan regulations adds …
situations for out-of-network (OON) or other contractual health plan regulations adds …
Definition, Practice, Regulations, and Effects of Balance Billing: A Scoping Review
S Viriyathorn, W Witthayapipopsakul… - Health Services …, 2023 - journals.sagepub.com
Background: Additional billing is commonly and legally practiced in some countries for
patients covered by health insurance. However, knowledge and understanding of the …
patients covered by health insurance. However, knowledge and understanding of the …
The markup on orthopaedic services: an analysis of 2014-2019 Medicare data and the potential for surprise billing
Background: Markups on charges for medical services have the potential to result in
“surprise billing,” especially for out-of-network and uninsured patients. Although previously …
“surprise billing,” especially for out-of-network and uninsured patients. Although previously …
The No Surprises Act and informed financial consent
The No Surprises Act and Informed Financial Consent The No Surprises Act and Informed
Financial Consent N Engl J Med. 2021 Oct 7;385(15):1348-1351. doi: 10.1056/NEJMp2109971 …
Financial Consent N Engl J Med. 2021 Oct 7;385(15):1348-1351. doi: 10.1056/NEJMp2109971 …
Financial toxicity in surgery: the phenomenon of underinsurance
KR Chhabra, TC Tsai - Annals of Surgery, 2022 - journals.lww.com
Although surgeons are vigilant of the clinical complications that may arise from an operation,
we have far less insight on the ''financial toxicity''of the operations we offer. Similarly …
we have far less insight on the ''financial toxicity''of the operations we offer. Similarly …
Financial viability of the No Surprises Act independent dispute resolution process: radiology and other hospital-based specialties
EW Christensen, MD Waid, JA Hirsch… - American Journal of …, 2024 - Am Roentgen Ray Soc
BACKGROUND. The federal No Surprises Act (NSA), designed to eliminate surprise
medical billing for out-of-network (OON) care for circumstances beyond patients' control …
medical billing for out-of-network (OON) care for circumstances beyond patients' control …
Surprise Billing in Elective Shoulder Surgery and Its Effect on Patient Satisfaction
JAS McCahon, JC Lynch, T Radack, LS Austin - Orthopedics, 2024 - journals.healio.com
Patients often receive multiple bills following surgery, which may come as a surprise to them
if they are not appropriately informed or educated prior to surgery. The purpose of this study …
if they are not appropriately informed or educated prior to surgery. The purpose of this study …
Site of Ambulance Origination and Billing for Out-of-Network Services
Importance The No Surprises Act implemented in 2022 aims to protect patients from surprise
out-of-network (OON) bills, but it does not include ground ambulance services …
out-of-network (OON) bills, but it does not include ground ambulance services …
Surprise out-of-network bills for hand and upper extremity trauma patients
Purpose Patients may receive surprise out-of-network bills even when they present to in-
network facilities. Surprise bills are common following emergency care. We sought to …
network facilities. Surprise bills are common following emergency care. We sought to …
Hospitals with decreasing cost-to-charge ratios bill greater surgical charges for similar outcomes
Background The cost-to-charge ratio reflects the markup of hospital services. A lower cost-to-
charge ratio indicates lower costs and/or greater charges. This study examines factors …
charge ratio indicates lower costs and/or greater charges. This study examines factors …