CUTTING EDGE INDUSTRY THOUGHT LEADERSHIP INSIGHTS

Synergy’s blog brings you the industry’s foremost thought leadership InSights on matters of healthcare lien resolution and Medicare Secondary Payer Compliance. Visit often to discover helpful InSights on important lien resolution compliance issues.

How to Reduce a Hospital Lien: Why Reasonableness of Charges Wins the Fight

Most hospital lien negotiations start from the wrong number. This post explains why billed charges function more like list prices than a measure of reasonable value, how to determine whether a provider holds an enforceable lien versus an unpaid debt, how to test whether that lien was properly perfected, and how to build a defensible reasonable value range using Medicare rates, commercial negotiated rates, and cost report data. It also covers auditing the itemized bill, catching balance billing violations, and layering statutory and equitable arguments on top of the reasonableness case.

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SLRS

Do Hospitals and Providers Have to Bill Insurance, Including Medicare and Medicaid?

Discover the complexities of healthcare billing and the obligations of hospitals and providers in our latest article, “Navigating Healthcare Billing: Do Hospitals and Providers Have to Bill Insurance, Including Medicare and Medicaid?” Unravel the intricacies of billing practices, including third party liability cases, Medicare, and Medicaid requirements. Gain insights into patient rights and proactive strategies for navigating the billing process. 

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