Insurance eligibility headaches expected with ACA

Insurance eligibility headaches expected with ACA

(HealthDay)—With the influx of newly insured patients under the Affordable Care Act, physician practices should be prepared to spend even more time verifying coverage, according to an article published Jan. 2 in Medical Economics.

According to the article, H. Christopher Zaenger, C.H.B.C., a consultant with Z Management Group in Barrington, Ill., suggests that practices should copy all the information on patients' identification cards. For those who do not yet have cards, he says, practices should get the patients' application paperwork and the plans they are joining "by specific name and number." The Qualified Health Plans website can be used to verify the coverage and effective date.

Furthermore, the article notes that the verification process will differ depending on if a patient's plan is run by the state or federal government. Additionally, practices should be prepared to "continually" educate patients about their payment responsibilities.

"Experts say that practices should prepare to spend even more time verifying coverage, and they must consider using cash reserves to float payments for the next few months," writes Donna Marbury, the author of the article.

More information: More Information

add to favorites email to friend print save as pdf

Related Stories

Experts predict ACA's areas of primary care impact

Jan 16, 2014

(HealthDay)—The Affordable Care Act (ACA) will transform primary care, and predictions of this impact center around some common themes, according to an article published Dec. 25 in Medical Economics.

Top ten physician challenges of 2014 discussed

Jan 27, 2014

(HealthDay)—The top ten challenges for physicians in 2014 relate to payment for medical services and government mandates, as well as adapting to a changing patient population and the need to improve work-life ...

Scribes can be beneficial in medical practices

Oct 22, 2013

(HealthDay)—Medical scribes can accurately document physician or independent practitioner dictation and activities, allowing providers to spend more time with patients, according to an article published ...

Recommended for you

Evidence plays limited role in OTC decision making

4 hours ago

(HealthDay)—For pharmacy graduates and tutors, evidence seems to play a limited role in over-the-counter decision making, according to a study published online Dec. 11 in the Journal of Evaluation in Cl ...

Shared medical appointments beneficial in geriatric care

4 hours ago

(HealthDay)—For older patients, a shared medical appointment (SMA) program facilitates early detection and referral for geriatric syndromes, according to an article published online Nov. 29 in the Journal of ...

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.