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MASSACHUSETTS ATTORNEY GENERAL'S OFFICE: Partners, Massachusetts Eye and Ear to Pay $175,000 to Settle Allegations of Deceptive Billing Practices

By Press release submission | Sep 13, 2018

Massachusetts Attorney General's Office issued the following announcement on Sept. 12.

Partners HealthCare System Inc. and Massachusetts Eye and Ear Infirmary will pay $175,000 to settle allegations that they violated Massachusetts’ consumer protection law by failing to adequately disclose to patients billing information for certain health care services, Attorney General Maura Healey announced.

The settlement, filed in Suffolk Superior Court, is the result of investigations by the AG’s Office after receiving numerous consumer complaints that Partners and Massachusetts Eye and Ear failed to adequately disclose certain policies that led to unexpected charges for health care services.

“Massachusetts residents have a right to transparency when it comes to their health care,” said AG Healey. “I am pleased that through this settlement, two major health care providers are changing their practices to better inform consumers about the cost of services and help them avoid unexpected charges.”

Under the terms of the agreement, Partners will pay a total of $150,000 to the Commonwealth and Massachusetts Eye and Ear, which was the subject of a separate investigation by the AG’s Office prior to being acquired by Partners in 2018, will pay a total of $25,000.

Through the settlement, Partners and Massachusetts Eye and Ear have agreed to increase transparency and help patients be aware of potentially unexpected charges by providing them with important billing information, including notifying patients that:

Certain medical offices are considered “hospital outpatient facilities” and consumers will be billed for hospital fees in addition to fees for professional services at those offices.

Certain Partners locations that provide “urgent care” services, including locations operating as hospital outpatient facilities, may not be recognized by health insurers as urgent care centers for billing purposes, so patients may have different out-of-pocket costs at these locations than they would expect for an urgent care center.

Patients may be required to pay a co-pay or deductible for diagnostic services provided during a preventive care appointment for which patients may not be accustomed to paying out-of-pocket.

The investigations and settlement are part of the AG’s ongoing examination of these industry-wide billing practices and how increased transparency can help consumers make informed decisions regarding their health care.

Original source can be found here.

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