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  2. Balance billing - Wikipedia

    en.wikipedia.org/wiki/Balance_billing

    The lack of a system to ensure fair benefit payments has allowed payers to underpay the fair value of emergency services, creating an imperative to preserve balance billing. Balance billing ensures the ability to provide patient care services where no enforced laws or regulations require health plans to pay appropriate benefits for emergency ...

  3. Health reimbursement account - Wikipedia

    en.wikipedia.org/wiki/Health_Reimbursement_Account

    Although the MSP reporting requirements began to apply to certain group health plans on January 1, 2009, CMS has delayed mandatory reporting for HRAs. [ 17 ] Rules pertaining to their reimbursements are perceived by member participants to be somewhat contradictory and/or even incoherent, leading some to lose contributions intended for ...

  4. Balanced Budget Act of 1997 - Wikipedia

    en.wikipedia.org/wiki/Balanced_Budget_Act_of_1997

    The Balanced Budget Act of 1997 (Pub. L. 105–33 (text), 111 Stat. 251, enacted August 5, 1997) was an omnibus legislative package enacted by the United States Congress, using the budget reconciliation process, and designed to balance the federal budget by 2002. This act was enacted during Bill Clinton's second term as president.

  5. Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act ...

    en.wikipedia.org/wiki/Medicare,_Medicaid,_and...

    The Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 [1] (also called the Balanced Budget Refinement Act or BBRA) is a federal law of the United States, enacted in 1999. [2] The BBRA was first introduced into the House as H.R. 3075 on October 14, 1999, by Rep. William M. Thomas (R-CA) with 75 cosponsors.

  6. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Medical billing, a payment process in the United States healthcare system, is the process of reviewing a patient's medical records and using information about their diagnoses and procedures to determine which services are billable and to whom they are billed. [1] This bill is called a claim. [2]

  7. KY-based businesses accused of wrongly billing Medicare ... - AOL

    www.aol.com/news/ky-based-businesses-accused...

    The BioTap group received payments from medicaid and medicare which they were not entitled to and agreed to pay nearly $1.5 million as part of a settlement against the false claims.

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    Get AOL Mail for FREE! Manage your email like never before with travel, photo & document views. Personalize your inbox with themes & tabs. You've Got Mail!

  9. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.