Pending PA legislation would limit most insurance refund demands and retroactive payment denials by third party payors to a one-year lookback period except where fraud or miscoding occurs. The full text of the bill can be viewed here:physicianlaw.foxrothschild.com/HB2178P4462(1).pdf . The bill was passed by the House by a vote of 195 to 2 on June 30. It’s still pending before the Senate and was referred to the Senate Banking Committee on July 5. For more information on this possible development, contact Bill Maruca at Fox Rothschild LLP.
