tci Outpatient Facility Coding Alert - 2013 Issue 1

Reader Question: Verify Date of Eligibility for Patients With New Insurance

Question: A patient who is scheduled for surgery says she has new coverage, but hasn’t received an insurance identification card yet. How do we file a claim for her? Georgia Subscriber Answer: Ideally, when patients call to make appointments, you should have someone in your office confirm their insurance coverage and eligibility, especially if you know the patient is going to have new insurance. Now is the time of year when benefits verification tends to be most useful. While verification is good practice all year long, January is the time when you’ll see more insurance changes --...

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