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Understanding Surprise Out-of-Network Billing in Hand and Upper Extremity Care by Chao Long; Brian H. Cho; Aviram M. Giladi is a Medicine article available to read on EtoBox.

What is Understanding Surprise Out-of-Network Billing in Hand and Upper Extremity Care about?

Surprise billing occurs when insured patients receive unexpected out-of-network charges and fees even when the emergency department, facility, or primary physician who provided care is in their insurance network. This issue is particularly relevant for hand surgery. The multidisciplinary nature of hand care and the number of ancillary services involved result in various levels at which out-of-network billing can be introduced, even when the hand surgeon is in-network for the patient. In addition, surprise billing is often associated with emergency department encounters, elective surgeries, and ambulance and helicopter transfers. In this article, we review surprise billing as it pertains to hand surgery. Little is known about surprise billing in hand care; however, we believe that these practices may substantially affect the patient population. We define key elements of surprise billing, review the literature, discuss the relevance and potential of surprise billing in hand surgery in various settings, and provide an overview of the status of health policy surrounding this practice. It is imperative for hand surgery as a field to understand the prevalence, operationalization, and pol

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Author

Chao Long; Brian H. Cho; Aviram M. Giladi

Publisher

Elsevier BV

Published

2020

Language

EN

Field

Medicine (Health Sciences)