Practice Management Alert

Payer Updates:

NY Insurance Department Fines Payers For Prompt Pay Violations

The New York State Insurance Department fined 20 payers for not paying providers within the required 45 days on undisputed claims as required by New York's Prompt Pay Law. The violations and subsequent fines -- totaling $716,800 -- resulted from complaints between Oct. 1, 2008 and Sept. 30, 2009. Some of the affected payers include Aetna ($25,100), CIGNA ($57,750), HealthNet ($13,600), United Healthcare ($159,650), and Wellcare ($9,000)."The Prompt Pay Law has been extremely effective in ensuring that consumers and health care providers are paid in a timely fashion and it remains an excellent deterrent against entities slow to pay undisputed claims," Superintendent James Wrynn said in a statement.In other news: California insurance regulators gave WellPoint's Anthem Blue Cross the green light to raise rates an average of 14 percent, with some as high as 20 percent. The approval came after WellPoint said there were "inadvertent" errors in an initial filing from [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Practice Management Alert

View All