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:6/26/2016)... ... , ... Brent Kasmer, a legally blind and certified personal trainer is helping to develop a ... fitness app plans to fix the two major problems leading the fitness industry today:, ... type program , They don’t eliminate all the reasons people quit their exercise ...
(Date:6/25/2016)... ... ... The temporary closing of Bruton Memorial Library on June 21 due to a possible lice ... overlooked aspect of head lice: the parasite’s ability to live away from a human host, ... a necessary one in the event that lice have simply gotten out of control. , ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin Johnson has ... he has implemented orthobiologic procedures as a method for treating his patients. The ... first doctors to perform the treatment. Orthobiologics are substances that orthopaedic surgeons use ...
(Date:6/24/2016)... ... ... Those who have experienced traumatic events may suffer from a complex set ... drug or alcohol abuse, as a coping mechanism. To avoid this pain and suffering, ... traumatic event. , Trauma sufferers tend to feel a range of emotions, from depression, ...
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, P.A. announced that ... chosen by their peers for this recognition are considered among the top 2 percent ... special honors as members of this year’s Legal Elite Hall of Fame: Miami ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... and INDIANAPOLIS , June ... receiving a Lilly Diabetes Tomorrow,s Leaders Scholarship is any ... scholarship winners, announced today online at www.diabetesscholars.org ... type 1 diabetes stand in the way of academic ... supported the Foundation,s scholarship program since 2012, and continues ...
(Date:6/23/2016)... , June 23, 2016 Revolutionary ... Oticon , industry leaders in advanced audiology ... of Oticon Opn ™, the world,s first internet ... possibilities for IoT devices.      (Photo: ... introduces a number of ,world firsts,: , ...
(Date:6/23/2016)... , June 23, 2016 The vast majority ... outpatient dialysis facility.  Treatments are usually 3 times a ... per visit, including travel time, equipment preparation and wait ... but especially grueling for patients who are elderly and ... skilled nursing and rehabilitation centers for some duration of ...
Breaking Medicine Technology:
Cached News: