Panelists told lawmakers that eConsult billing codes, asynchronous telehealth reimbursement, and public dashboards need attention: FQHCs/RHCs face billing limitations for eConsults and the public Medi‑Cal dashboard has not been updated since 2022, limiting oversight.

HMS described post-payment reviews that will check whether inpatient claims meet Health First Colorado medical-necessity standards. Providers pressed for clearer rules on dialysis exclusions, observation-stay duration and more ability to self-audit or rebill short stays, while the state urged portal uploads instead of mailed records.

Senator Warner addresses complexities and potential fraud in duplicate billing for health services.

City officials aim to implement advance quarterly billing for garbage collection by January.

Patients should read consent forms to understand their billing opt-out options and rights.

Audit identifies incorrect billing for medication and transportation services across five locations.

Health benefit plans must use specific codes for state or federal billing regulations.