The court ruled Tuesday that insurers can’t include ghost rates or exclude bonus payments in calculating a metric used to determine reimbursement for out-of-network bills. That’s set to further inflate payouts to providers.
5th Circuit strikes down No Surprises billing benchmark in win for providers
The court ruled Tuesday that insurers can’t include ghost rates or exclude bonus payments in calculating a metric used to determine reimbursement for out-of-network bills. That’s set to further inflate payouts to providers.
Source: Healthcare Dive