At this point when youre on the phone scheduling the appointment you should

At this point when youre on the phone scheduling the

This preview shows page 9 - 11 out of 39 pages.

At this point, when you’re on the phone scheduling the appointment, you should also have a conversation with the client to review your financial policy.If at all possible, try to provide the client with an estimate of the cost of the services. And this should be – and it should be made clear to them before theycome in for the appointment what your financial policy is and what their financial obligation will be.In addition to collecting insurance coverage information and demographic information from the client on the phone, eligibility verification should be conducted prior to the patient’s visit to confirm their insurance status and whether or not the services will be covered.There are a couple of ways to do this. Eligibility and benefit verification may be conducted electronically by using software which must be purchased. Usually it’s on a subscription basis. Or, you can verify coverage and benefits for free through each individual payer’s Web site at no cost.
Background image
JSI RESEARCH AND TRAINING INSTModerator: Paul Rohde07-24-13/2:00 p.m. ETConfirmation # 74830672Page 10Verification to the payer Web site is actually pretty time-consuming cumbersome. And it might be prohibited as your number of insured clients increases and if you have a number of multiple health plans that you’re contracting with.Currently, unfortunately, we don’t have a free service or a centralized mechanism in place to allow us to verify income – verify, excuse me, benefits and coverage across all health plans. But you can subscribe, and some of these software programs or Web-based resources are pretty reasonable cost – reasonably cost set up – reasonably – have reasonable fees, excuse me. And you can subscribe to them on a monthly or annual basis.You can also call the insurer on the phone. There’s a phone number usually on the patient’s insurance card and you can call the carrier to verify benefits. But this can be really time-consuming. You should be prepared if you’re going this direction to be on hold for a long time. It’s not ideal.Let’s take Blue Cross Blue Shield as an example. So you have a client come in that’s covered by your local Blue Cross Blue Shield carrier and you have a contract with that insurance company.You would have provider log-in instructions that you have received from the insurance company as you’re contracted with them as part of their network, you’ll go on the Web site and log in and then you’ll verify that that patient is insured and verify what the patient’s insurance coverage is and whether or not the services you’re going to be providing are covered.This slide provides you with the information that you’ll need to have in place in advance in order to make this happen effectively. The first column on that last slide provides you with the information that you’ll need to have ready before you attempt to verify eligibility and benefits. You’ll get this information from the client directly or from their insurance card.
Background image
Image of page 11

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture