DMHC Cites Medical Group for Balance Billing
The Department of Managed Health Care has determined that the Chase Dennis Emergency Medical Group violated California law by balance billing 122 enrollees of the Sistemas Medicos Nacionales health plan since early 2009. Balance billing refers to out-of-network providers charging patients for the difference between what patients' insurers cover and what providers' charge for the service. DMHC did not levy a fine against the medical group, which agreed to cease and desist the balance billing and refund any incorrect payments.
- "Medical Group Cited for Balance Billing" (Payers & Providers, 7/9).