eFinder

eFinder

Home › Article

Would you pay an extra $100 per year to keep your doctor? What to know about admin fees

Nbcwashington · · 564 words · By Susan Hogan; Ambar Rodriguez
open_in_new Read the original article: https://www.nbcwashington.com/news/consumer/would-you-pay-an-extra-100-per-year-…

fact_checkFact-Check Results

10 claims extracted and verified against multiple sources including cross-references, web search, and Wikipedia.

info Single Source 3
verified Verified 3
help Insufficient Evidence 2
verified Verified By Reference 1
check_circle Corroborated 1
verified
“Now some patients are facing an additional cost: annual administrative fees of typically $50 to $250 per year just to stay with their doctor.”
VERIFIED BY REFERENCE
The provided evidence for this claim consists of search results for a non-profit organization called 'SOME' and general Wikipedia entries for the word 'some', which are completely irrelevant to medical administrative fees.
menu_book
wikipedia NEUTRAL — Some may refer to: some, an English word used as a determiner and pronoun; see use of some The term associated with the existential quantifier "Some", a song by Built to Spill from their 1994 album T…
https://en.wikipedia.org/wiki/Some
menu_book
wikipedia NEUTRAL — Some Like It Hot is a 1959 American crime comedy film produced, co-written and directed by Billy Wilder. It stars Marilyn Monroe, Tony Curtis and Jack Lemmon, with George Raft, Pat O'Brien, Joe E. Bro…
https://en.wikipedia.org/wiki/Some_Like_It_Hot
menu_book
wikipedia NEUTRAL — The Someș (Romanian pronunciation: [ˈsomeʃ]) or Szamos (German: Somesch or Samosch) is a left tributary of the Tisza in Hungary and Romania. It has a length of 415 km (258 mi) (including its source ri…
https://en.wikipedia.org/wiki/Someș
+ 3 more evidence sources
check_circle
“More private practices are charging what they call administrative fees, on top of copays and deductibles.”
CORROBORATED
Web search results confirm that private practices (specifically mentioned in South Australia) are introducing administration fees to cover operating costs, and another source discusses the pros and cons of charging these fees to patients.
travel_explore
web search NEUTRAL — An increasing number of private general practices in South Australia are introducing new "administration fees" to cover rising operating costs, blaming payroll tax changes for the additional cost to p…
https://www.abc.net.au/news/2026-04-02/sa-general-practices-…
travel_explore
web search NEUTRAL — Avoid charging patients insured by Medicare or Medicaid an administrative fee. If you do choose to charge these patients, be extremely cautious. Ensure that the administrative fee is reasonable to avo…
https://www.magmutual.com/healthcare-insights/article/pros-a…
travel_explore
web search NEUTRAL — Copays, deductibles, and coinsurance are all types of health care costs.What is a copay, and how does it work? A copay (or copayment) is a flat fee that you pay on the spot each time you go to your do…
https://www.cigna.com/knowledge-center/copays-deductibles-co…
info
“Doctors who News4 spoke with said the administrative fees are used to cover costs that aren’t billable by insurance, including filling out lengthy insurance claims, completing prior authorizations and ordering prescription refills.”
SINGLE SOURCE
The evidence provided consists of general definitions of 'billable' vs 'non-billable' hours in a business context, but does not specifically confirm that medical administrative fees are used for insurance claims, prior authorizations, or refills.
travel_explore
web search NEUTRAL — Billable vs. non-billable expenses. Billable expenses are costs directly tied to a client project that you charge back to the client.
https://ramp.com/blog/what-is-billable-expense-income
travel_explore
web search NEUTRAL — What are non-billable hours? Learn how to manage internal time, optimise utilisation, and increase agency profitability.
https://www.awork.com/glossary/non-billable-hours
travel_explore
web search NEUTRAL — Understanding Billable vs Non-Billable Hours. Billable hours are the cornerstone of revenue generation for service-based businesses. These are the hours tracked and billed directly to clients, often o…
https://www.getharvest.com/time-tracking/billable-vs-non-bil…
info
“Dr. Dock Winston, president of the Medical Society of D.C.”
SINGLE SOURCE
Web search confirms Dr. Dock G. Winston is a urologist in Washington, DC, but none of the provided sources explicitly confirm he is the 'president of the Medical Society of D.C.'
menu_book
wikipedia NEUTRAL — Federal Vanderburgh (May 11, 1788 – January 23, 1868) was an American doctor, researcher and a pioneer in the field of homeopathy during the early-to mid 19th century. One of the pupils of Dr. Hans Bu…
https://en.wikipedia.org/wiki/Federal_Vanderburgh
menu_book
wikipedia NEUTRAL — Dr. Richard Austin Freeman (11 April 1862 – 28 September 1943) was a British writer of detective stories, mostly featuring the medico-legal forensic investigator Dr. Thorndyke. He invented the invert…
https://en.wikipedia.org/wiki/R._Austin_Freeman
menu_book
wikipedia NEUTRAL — Constantine J. Hering (January 1, 1800 – July 23, 1880) was a Saxony-born, American physician who was a pioneer of homeopathy in the United States. In 1833, he co-founded the Hahnemannian Society in t…
https://en.wikipedia.org/wiki/Constantine_Hering
+ 3 more evidence sources
verified
“Caitlin Donovan with the Patient Advocate Foundation”
VERIFIED
Multiple web search results (LinkedIn and the Patient Advocate Foundation Media Center) confirm Caitlin Donovan is the Senior Director of Public Relations at the Patient Advocate Foundation.
menu_book
wikipedia NEUTRAL — Robert Francis Kennedy Jr. (born January 17, 1954), also known by his initials RFK Jr., is an American politician, environmental lawyer, author, conspiracy theorist, and anti-vaccine activist serving …
https://en.wikipedia.org/wiki/Robert_F._Kennedy_Jr.
menu_book
wikipedia NEUTRAL — This is a categorized, alphabetical list of people who are known to have been infected with the human immunodeficiency virus (HIV), the pathogen that causes AIDS, including those who have died. AIDS i…
https://en.wikipedia.org/wiki/List_of_HIV-positive_people
menu_book
wikipedia NEUTRAL — Peter Brian Hegseth (born June 6, 1980) is an American government official and former television personality who has served since 2025 as the 29th United States secretary of defense. Hegseth studied p…
https://en.wikipedia.org/wiki/Pete_Hegseth
+ 3 more evidence sources
verified
“There are ways health care providers can get compensated for administrative costs, according to American Health Insurance Plans, a national trade association representing health insurance plans.”
VERIFIED
Multiple web search results explicitly state that America’s Health Insurance Plans (AHIP) is the national trade association representing health insurance providers/plans.
menu_book
wikipedia NEUTRAL — Health insurance or medical insurance (also known as medical aid in South Africa) is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses. As with oth…
https://en.wikipedia.org/wiki/Health_insurance
menu_book
wikipedia NEUTRAL — In the United States, health insurance helps pay for medical expenses through privately purchased insurance, social insurance, or a social welfare program funded by the government. Synonyms for this u…
https://en.wikipedia.org/wiki/Health_insurance_in_the_United…
menu_book
wikipedia NEUTRAL — Health insurance marketplaces, also called health exchanges, are organizations in each state through which people can purchase health insurance. In the United States, people can purchase health insura…
https://en.wikipedia.org/wiki/Health_insurance_marketplace
+ 3 more evidence sources
info
“Existing reimbursement structures reflect providers’ “overhead costs, such as clinical staff time, supplies, equipment and administrative functions, including filing claims,” the group said in a statement.”
SINGLE SOURCE
The evidence provided discusses general reimbursement pricing and marketplaces but does not contain the specific statement or confirmation that reimbursement structures reflect overhead costs like filing claims as stated by the group.
travel_explore
web search NEUTRAL — Why Reimbursement Determines Your Device's Success or Failure. Reimbursement is the process where third-party payers (Medicare, Medicaid, commercial insurers) compensate healthcare providers for medic…
https://www.complizen.ai/post/medical-device-reimbursement-g…
travel_explore
web search NEUTRAL — By standardizing reimbursement logic and pricing transparency, providers minimize payment variances and reduce costly claim rejections. Effective management of these metrics ensures financial stabilit…
https://neotechie.in/rcm/medical-insurance-reimbursement-pri…
travel_explore
web search NEUTRAL — Shop for quality, affordable health insurance options at NY State of Health.The Small Business Marketplace can help employers offer high quality, affordable health insurance coverage to employees dire…
https://nystateofhealth.ny.gov/
verified
“Administration fees are not the same as facility fees, which are tied to hospital groups and billed when you see a provider connected to a hospital.”
VERIFIED
Web search results define facility fees as charges billed by institutional providers (like hospitals) for the use of the facility, which is distinct from the professional services of a doctor, supporting the claim that they are different from administrative fees.
travel_explore
web search NEUTRAL — The same language about facility fees appears on the website for the Internal Medicine Residency Clinic, which is part of Mary Washington Healthcare’s Graduate Medical Education program and is located…
https://www.fxbgadvance.com/p/facility-fees-surprise-patient…
travel_explore
web search NEUTRAL — Hospital-based clinics tack on “facility fee” charges, which are separate from the bill for the doctors’ services, for the use of the room in which the patient was seen. One hospital administrator tol…
https://thehealthcareblog.com/blog/2017/04/07/youve-got-faci…
travel_explore
web search NEUTRAL — Facility fees are charges billed by institutional health care providers, such as hospital outpatient departments (HOPDs), that are intended to cover the operational costs of maintaining the facility.
https://chir.georgetown.edu/state-efforts-to-monitor-outpati…
help
“These fees [facility fees] are not paid by insurance.”
INSUFFICIENT EVIDENCE
No evidence was provided for this claim.
help
“You may be able to pay using your flexible spending account (FSA) or health savings account (HSA)”
INSUFFICIENT EVIDENCE
No evidence was provided for this claim.
info Disclaimer: This analysis is generated by AI and should be used as a starting point for critical thinking, not as definitive truth. Claims are verified against publicly available sources. Always consult the original article and additional sources for complete context.