HOME >> MEDICINE >> NEWS
Despite legislation, prompt payment for radiology services 'elusive goal' in New Jersey

Medical providers in New Jersey are continuing to experience payment delays even after the state has implemented prompt payment laws, a situation that could have relevance across the U.S., says a new study published in the July 2004 issue of the American Journal of Roentgenology (AJR).

The study is a follow-up to a prior publication of delayed paid claims that also appeared in the AJR. In the current work, the authors focused on unpaid claims, analyzing 48,217 claims submitted in February, June and October of 2000 to six major payers for 93 radiologists in New Jersey. The percentage of completely unpaid claims after the legal 40-day limit was 28%; after 170 days, the percentage was 6%. The study shows that lost revenue from unpaid claims was 28 times greater than the lost interest associated with delayed payments.

According to lead author on the study Lawrence C. Swayne, MD, of Morristown Memorial Hospital and Morris Imaging Associates in Morristown, NJ, the issue of prompt payment has become prominent in managed care reform. "Payment abuses have become so widespread that prompt payment laws have been enacted in 47 states. Despite these efforts, our study suggests that managed care companies may pocket close to $20 billion per year for unpaid claims at the expense of U.S. physicians," said Dr. Swayne.

And it is not just the physicians who are affected, according to Dr. Swayne. "Ultimately, the general public bears the final burden. Patients without insurance or with insufficient insurance experience decreased access. Even patients with insurance coverage frequently discover their choices are limited as physicians are forced to cease participating with a tardy payer," he said.

In addition, the study found a clean claims filing rate of 97% that, according to the researchers, contradicts the managed care organizations' assertion that about 50% of provider submitted claims are flawed. Furthermore, they said, the majority of late payme
'"/>


1-Jul-2004


Page: 1 2

Related medicine news :

1. Despite resources, at-risk infants in US fare no better, researchers find
2. Despite the best available anti-aids drugs, Jefferson scientists detect active HIV in the bloodstream
3. Despite Progress, More Action Needed To Protect Medical Students From Exposure To Disease Through Accidental Needlesticks, UCSF Study Finds
4. Many Gay Men Infected With HIV Are Opting To Delay Treatment, Despite Availability Of Drugs
5. New survey finds red dress symbol prompts women to take action to care for their hearts
6. Nerve navigation findings prompt new direction for spinal cord research
7. Activism prompts teen smokers to cut back on cigarettes, Stanford study finds
8. Common drug, given promptly, reduces incidence of post-traumatic stress disorder, small study finds
9. Antigen targeted in therapy for melanoma also prompts immune response in brain tumor cells
10. Polyherbacy prompts need for physicians advice
11. Caregiving for spouse prompts women to retire earlier

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:1/24/2017)... ... January 23, 2017 , ... The Pharmacy and Medically Underserved ... bipartisan original co-sponsorship of nearly one-quarter of the U.S. House of Representatives. The ... Chain Drug Stores (NACDS) strongly backs the legislation. , “NACDS thanks for their ...
(Date:1/24/2017)... Washington, D.C. (PRWEB) , ... January 23, 2017 ... ... today issued the following statement on the imposition of the Mexico City Policy, ... , The policy, enacted again today through Executive action, prohibits foreign non-governmental organizations ...
(Date:1/24/2017)... (PRWEB) , ... January 23, 2017 , ... ... presence in Texas with the acquisitions of two personal care service companies: Padre ... Texas City, Texas, effective January 1, 2017. , Well regarded in their respective ...
(Date:1/24/2017)... ... January 23, 2017 , ... ... support them, Dr. Carol Francis, Psychologist in the South Bay area , ... respectful governing for all people and by all people shines as a bright ...
(Date:1/24/2017)... ... January 24, 2017 , ... The National Council of Alcoholism and ... alcohol awareness, have worked with communities to designate the last full week of January ... the theme is “Shatter the Myths.” As a community, we can advocate for ...
Breaking Medicine News(10 mins):
(Date:1/23/2017)... , Jan. 23, 2017  Based on ... Frost & Sullivan recognizes Ansell, a global leader ... & Sullivan Company of the Year Award. Ansell,s ... and a wide global footprint have placed it ... hand protection market. The Company,s established product line ...
(Date:1/23/2017)... 2017 Direct-to-consumer digital ... sold and 65% increase in consumable sales, quarter-over-quarter ... (NASDAQ: DRIO ), a leader in digital ... the Dario™ Blood Glucose Monitoring System, an all-in-one diabetes ... app-based and minimally invasive smart diabetes management solution. ...
(Date:1/23/2017)... 23, 2017 Research and Markets has announced the ... - Product - Forecast to 2025" report to their offering. ... Report Highlights: ... trends to identify the investment opportunities Market forecasts till ... Key market trends across the business segments, Regions and Countries ...
Breaking Medicine Technology:
Cached News: