What are principal obstacles that are holding back consumers from embracing e-bills & online bill payment of household bills (e.g. telco, utilities)?

If there is no co-pay or coinsurance assigned to a line of service, it is unlikely that the patient would be billed a co-pay or coinsurance for an out-of-network provider. However, it is important to check the patient's insurance policy and any agreements between the insurance company and the out-of-network provider to confirm whether or not the patient will be responsible for additional charges. If the out-of-network provider is not going to be submitting claims, it is likely that the responsibility for acquiring prior authorizations would fall on the patient or their representative. However, it is important to check the patient's insurance policy and any agreements between the insurance company and the out-of-network provider to confirm who is responsible for acquiring authorizations. Additionally, it is also important to check if the insurance company of the patient have any network providers which can be used instead of the out-of-network provider.

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I've been a consultant, both independently and through two of the "Big 5" consulting firms, for the majority of my career. I've recently discovered that I have a serious aversion to time-based billing, that's been buried deep down in my subconscious for a while. Because of this discovery, I've been trying hard to break the direct bond between hours worked and income generated. The concept of value-based billing can be very appealing in this regard. The co-founder and CEO of FreshBooks, Mike McDerment, wrote a pretty interesting and entertaining eBook on the subject, called Breaking the Time Barrier - http://www.freshbooks.com/breaking-the-time-barrier It's worth a quick read, if for no other reason than to experience a different way of thinking when it comes to billing for services. Here are some of the stumbling blocks I've experienced, when trying to put value-based billing into practice - 1 - Finding the clients who are willing to take the time to hear you out on the approach 2 - Finding the clients who can appreciate the approach, however if you get through #1, #2 seems to be a bit easier, since their minds are already open enough to consider it 3 - Waiting out the time it takes to find and educate the "right" clients, as Mike describes them in the book, when you have bills to pay :) I do feel that value-based billing makes a lot of sense for both the client and the service provider. One thing that value-based billing does well is resolve the paradox between the client's goal of having a project delivered at a reasonable price and the service provider's goal of generating revenue, which, by nature, are somewhat at odds from the outset, since the client usually wants to pay for the fewest # of hours possible (whether they admit that or not, that's another story), while the service provider wants to put the time in it takes to get the job done right.

Modifier GV is used to identify services provided by an attending physician not employed or paid by the patient's hospice provider. Modifier GW signifies services not related to the hospice patient's terminal condition. You can read more here: https://www.novitas-solutions.com/webcenter/portal/MedicareJH/pagebyid?contentId=00100547 Besides if you do have any questions give me a call: https://clarity.fm/joy-brotonath