balance billing, concierge medicine, patient portal access

by Dr. Sterling Rutherford IV 8 min read

Balance Billing Concierge Medicine

15 hours ago Concierge patients of Dr. Daniel Boss can get patient portal access online. Learn more about Concierge Internal Medicine Associates. (561) 295-5024. 600 University Blvd. Suite 104, Jupiter, FL 33458 ... At Concierge Internal Medicine, we offer longer appointment times, more direct medical access to Dr. Daniel Boss, and limited number of ... >> Go To The Portal


What is concierge medicine?

Concierge patients of Dr. Daniel Boss can get patient portal access online. Learn more about Concierge Internal Medicine Associates. (561) 295-5024. 600 University Blvd. Suite 104, Jupiter, FL 33458 ... At Concierge Internal Medicine, we offer longer appointment times, more direct medical access to Dr. Daniel Boss, and limited number of ...

What is balance billing in healthcare?

Balance billing happens after you’ve paid your deductible, coinsurance or copayment and your insurance company has also paid everything it’s obligated to pay toward your medical bill. If there is still a balance owed on that bill and the healthcare provider or hospital expects you to pay that balance, you’re being balance billed.

What is a patient portal and how do I access it?

What is balance billing? “When a provider bills you for the difference between the provider’s charge and the allowed amount. For example, if the provider’s charge is $100 and the allowed amount is $70, the provider may bill you for the remaining $30. A preferred provider may not balance bill you for covered services.”

Is'surprise balance billing'banned?

Please Log In. Use the form below to sign in to the patient portal to begin managing your records. If you have not logged in before and are a patient who did not sign up online, then you must sign up for an account next time you are in the office. Username Password. Log In.

Is Balance Billing Legal Or Not?

Sometimes it’s legal, and sometimes it isn’t; it depends on the circumstances and your state’s insurance laws.Balance billing is generally illegal:...

How Balance Billing Works

When you get care from a doctor, hospital, or other health care provider that isn’t part of your insurer’s provider network (or, if you have Medica...

When Does Balance Billing Happen?

In the United States, balance billing usually happens when you get care from a doctor or hospital that isn’t part of your health insurance company’...

Surprise Balance Billing: Out-Of-Network Providers Working at In-Network Facilities

Receiving care from an out-of-network provider can happen unexpectedly, even when you try to stay in-network. For example, you go to an in-network...

What to Do If You Receive An Unexpected Balance Bill

Receiving a balance bill is a stressful experience, especially if you weren't expecting it. You've already paid your deductible and coinsurance and...

If You Know in Advance You’Ll Be Legally Balance Billed

First, try to prevent balance billing by staying in-network and making sure your insurance company covers the services you’re getting. If you’re ha...

What are integrated features in the Portal?

Integrated features include: Updates to demographic or contact information made in the Profile area of the Portal’s Health Information Management.

Does Delta Health sell email addresses?

Delta Health does not sell or distribute email addresses and will not use email addresses for any other purpose.

Can a patient access a health summary?

Patients and authorized family members may access a Health Summary from the Portal, or transmit the Health Summary which serves as a Continuity of Care Document (CCD). Patients may safely transmit an encrypted summary to a specific physician by entering a Provider Direct Address.

What is concierge medicine?

Concierge medicine (also known as retainer medicine or boutique medicine) involves charging patients (or clients) a subscription (or access) fees for medical and other health care services. Frequently physician entrepreneurs will create a model of high-end, primary care through concierge medicine, but be unaware of the legal pitfalls ...

What are the legal issues that concierge physicians face?

Here are some fundamental legal issues physicians typically face: One of the key legal issues is the extent to which the access or retainer fee for the concierge medical practice includes services that are routinely covered by insurance — such as physical exams, routine medical office visits, and routine diagnostic tests.

What is the second issue that arises?

A second issue that arises is that of illegal kickbacks and fee-splitting legal rules. When concierge practices offer “free” services this raises concerns under the federal anti-kickback statute (AKS) if Medicare is involved, and otherwise and additionally under state antikickback laws.

Does private insurance have a balance billing clause?

For example, the private insurance company may have a clause that prohibits balance billing — i.e., billing the patient for a service after or in lieu of the rate of reimbursement allowed by the insurance agreement. The prohibition on balance billing usually only applies to covered services so there may be an “out” here.

Your Rights and Protections Against Surprise Medical Bills in Texas

When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible.

Your Rights and Protections Against Surprise Medical Bills in the State of New Mexico

What is “balance billing” (sometimes called “surprise billing”)? When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible.