Why an insurance policy change has some ER doctors worried in Mississippi

December 28, 2018, The Clarion Ledger, Luke Ramseth- A physicians group is raising concerns about a planned Blue Cross & Blue Shield of Mississippi policy change it says could lead to less care being covered when a patient comes into the emergency room. The Mississippi chapter of the American College of Emergency Physicians said it’s worried about a change where the insurer will review ER bills so “level of care” charges more closely align with the patient’s diagnosis and not their symptoms. The group is concerned the policy - set to take effect next year - means tests and treatments related to the “ruling out” process would no longer be covered. But Mississippi’s insurance commissioner said the move is meant only to stop hospitals from over-billing related to the severity and complexity of an ER visit.

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