DecisionHealth, DecisionHealth - 2012 Issue 4 (April)

Grandfathered plans can ding you on billing preventive services

Verify private pay patients’ benefits before you provide preventive services to avoid losing money because of the lack of coverage in grandfathered plans. Under the Affordable Care Act (ACA), Medicare and most private insurance plans now must cover a growing number of preventive services, often without a copay. But there’s a hidden risk when rendering those services. 

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