Just started a job and it is a new office-would like to learn how to verify health benefits and to do authorizations -Is there anyone out there that can give me some info on this??
--------------------
It's best to set up a verification sheet that has the pt's insurance name, id#'s, contact phone # (usualy found on the patients insurance card), who you spoke with there, effective date, co-pay amount (and if it's due for this type of visit) deductible (and amount met), co-insurance amount, out of pocket amount (and amount met). If pre-certification or authorization is needed for any procedures or diagnostic testing (this does not necessarily have to be done at the initial visit, only if a special test or procedure is ordered by the doctor.)Some insurance base this on the cost of the procedure (say over $1000) or if it's an out patient or in-patient procedure done in a hospital or out-patient surgery center. HMO's will almost always need prior auth from the pt's PCP. That way, this verification can be saved in the patients chart as documentation if any questions arise later.
Source
Health insurance policy has many benefits not for an internist but for all the people who plans to buy it. The rate is actually decided on the individual's requirement and health condition. You have provided an excellent detail about this question and do have highlighted how important is to have this plan.
ReplyDeletebusiness interruption insurance