See the post by Alicia Kellogg, we have heard comments about the "contract" issue as well. Now facilities may have to include criteria in their contracts as well. These back and forth efforts to take/receive money seem never ending and just add more bureaucracy and cost to healthcare.
Great tip on asking the insurance commissioner to get involved. You may also work with your hospital state association as they can be very influential.
Cheryl Bowling, RHIT, CCS, CHC, C-CDI
Director Audit and Compliance
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