Cope with ACA exchange plan headaches with better plan tracking, automation

Why This Topic Matters

Exchange-plan confusion can disrupt eligibility checking, scheduling, payment collection, and claims follow-up. Understanding the operational issues and available workflow responses can help practices reduce administrative burden and avoid avoidable payment problems.

Article Sections

1. Front desk matters

   Introduces the administrative challenges that exchange health plans create for physician practices and summarizes reported verification and payment issues.

2. Payers often the problem

   Describes how payer-side tracking, coverage changes, and network information can contribute to workflow problems for practices.

3. 6 ways to smooth it out

   Outlines several general practice-management approaches for handling exchange-plan patients, including patient education, payment policies, software support, and directory follow-up.