decisionhealth Newsletters, Part B News - 2011 Issue 7 (July)
Private plans may still require co-pay for preventive services
Subscribe or sign in to view the full article.
Article Overview
This article explains how preventive-service coverage is being promoted under Medicare and Medicare Advantage, and why some private health plans may still charge patients depending on plan status and policy origin date. It is relevant to coders, billers, compliance staff, and benefit administrators who need a general understanding of how preventive service coverage interacts with health reform and private payer rules.
Why This Topic Matters
The piece highlights payer differences that can affect patient cost-sharing, preventive-service billing, and coverage expectations across Medicare, Medicare Advantage, and private plans. It also points readers to CMS guidance and related public information resources.
What You Will Learn
- How CMS is promoting preventive-service utilization
- How Medicare and Medicare Advantage coverage is discussed in relation to patient cost-sharing
- How grandfathered versus non-grandfathered private plans are described
- What types of plan changes are discussed as relevant to coverage obligations
- What public CMS resources are referenced for further information
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance professionals
- Practice managers
- Health plan administrators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com