tci Medicare Compliance & Reimbursement - 2013 Issue 5

Reader Question: Check Eligibility Dates As Part of Verification

Question: How should I file a claim on a patient who has new coverage but has not received an insurance identification card yet? Answer: Ideally, when patients call to make appointments, you should have someone in your office confirm their insurance coverage and eligibility, especially if you know the patient is going to have new insurance. Now is the time of year when benefits verification tends to be most useful. While verification is good practice all year long, you’ll see more insurance changes in January and February — including payer, benefit, and deductible/copay changes — than at any...

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