MGMA: Insurers, Clearinghouses Abuse EFT Transactions

Published
  • June 23 2014, 7:38am EDT
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Some health plans and claims clearinghouses are charging excessive fees for paying providers via the HIPAA-mandated electronic funds transfer transaction, or are using “virtual” credit cards to reimburse for care, according to the Medical Group Management Association.

Consequently, MGMA is asking the Centers for Medicare and Medicaid Services to quickly rein in these practices. Both actions are contrary to the intent of the Affordable Care Act--which mandated EFT payment--and existing CMS guidance, MGMA tells CMS Administrator Marilyn Tavenner in a recent letter.

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