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The expression “garbage in, garbage out” or "gigo" is generally used in IT field that means regardless of how accurate a program's logic is, the results will be incorrect if the input is invalid. The same applies for medical billing process… if you have the wrong...
Verifying with insurance carriers on patient eligibility is one of the requirements of any medical practice management. In fact, this is important to the income of a medical office. Medical offices have several ways they can accomplish this. It all depends on...
Verifying patient eligibility is becoming an indispensable process when it comes to billing patients, getting paid by insurance providers, and the overall management of practices’ revenue cycles. With the rise in high-deductible and cost-sharing insurance plans, more and more patients are required to make payments at the time of service, though many patients are unaware of that fact.
Eligibility verification—particularly when done in advance—solves this problem, allowing you to give important information to your patients before their appointments.
If you thought that medical coding and billing used to be a complicated process, it’s likely only become more complicated since the recent transition to ICD-10. In addition to this change, the recent growth in the number of high-deductible and cost-sharing insurance plans, as well as the Affordable Care Act, have likely also had some sort of effect on your revenue cycle.
The solution to managing all of these recent changes? Patient eligibility verification.
Even just a few years ago, verifying patient eligibility once a year was good enough, as most patients stuck with their insurance providers for the long haul. However, the market is changing, and more and more patients are switching over to higher deductible plans and plans based on cost sharing.
Today, a patient’s insurance information can change over night—which is why it’s increasingly important to regularly verify your patients’ eligibility. But when, exactly, should you verify patient eligibility?