X

Preparing for 2020: Verify your patients’ eligibility and benefits

December 06, 2019
Area(s) of Interest: Practice Management 


As the current year ends, physicians are urged verify patients' eligibility and benefits for 2020 to ensure they will be paid for services rendered. The beginning of a new year also means that both calendar year deductibles and visit frequency limitations reset. And, with open enrollment, patients may even be covered by a new payor.

Don’t get stuck with unnecessary denials or upset patients. Do your homework before patients arrive by obtaining updated insurance information, verifying eligibility at the time of scheduling, if possible, and making copies of the insurance card at the time of the visit.

And, don't forget that deductibles are typically based on the calendar year and will reset on January 1. Best practice is to communicate with patients upon scheduling to remind them that their plan has a deductible that may be resetting on January 1 and, if that is the case, that payment will be due at the time of service.

If you offer an appointment reminder service, remind the patient if payment is expected at the time of service. Failure to collect deductibles, copays and coinsurance at the time of service can be very costly for a practice, as your ability to collect can decrease significantly after the patient leaves the office.

Taking these proactive steps to protect your practice by preventing denials, delays in payment and disgruntled patients goes a long way toward ultimately saving time and money.

COVID-19
Resources

Resources for physicians and health care providers on the latest news, research and developments.

Stay Informed

Opt in to receive updates on the latest health care news, legislation, and more.

Was this page helpful?