decisionhealth Newsletters, Part B News - 2017 Issue 8 (August)
If payers, or their vendors, are skimming your payments, tell them to stop
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Article Overview
This practice management article explains recent CMS FAQs and related industry responses about electronic funds transfer payments, virtual credit card payments, and provider concerns about payment-related fees. It is relevant to physicians, practice managers, billing staff, and other healthcare administrators who handle payer contracts, enrollment details, and payment processing issues. The article also summarizes the roles of CMS, AMA, and MGMA, and points readers to complaint and educational resources.
Why This Topic Matters
Payment method fees can affect how much a provider ultimately receives and how payer contracts are structured. The article highlights why healthcare organizations should review payment terms carefully and monitor guidance from CMS and advocacy groups.
Article Sections
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CMS guidance and provider concerns
Introduces recent CMS FAQ activity and the general provider concern about payment processing practices. It frames the issue as a practice management and reimbursement topic.
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Some FAQs withdrawn
Describes CMS FAQ updates, including material that was later removed, and the context around questions involving EFT-related fees. It also mentions external commentary from medical organizations.
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Virtual cards
Covers the use of virtual credit card payments as an alternative payment method and why some providers and plans encounter friction around them. The section also notes comments from practice and consulting sources.
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3 things to do about fees
Summarizes practical responses discussed by advocacy groups and practitioners, along with resources for reporting concerns. It emphasizes contract review, legal arguments, and payer communication.
What You Will Learn
- How CMS and industry groups are discussing payment-related fees
- What broad issues providers raise about EFT and virtual card payment methods
- Which organizations are referenced as sources of guidance and advocacy
- What general response options are discussed for providers who encounter disputed payment charges
Who Should Read This
- Physicians
- Practice managers
- Billing staff
- Healthcare administrators
- Revenue cycle professionals
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