Nov 7, 2019
Thanks for letting me tell you about the most common inquiries I
receive. Today’s episode is a virtual amalgam (see what I did
there?) of many insurance issues.
- Non-covered services: what difference does it make if a plan is
self-funded? I give you a quick description so it will click when
you see one in the wild. The ADA did a webinar on this if you want
more information: https://success.ada.org/en/dental-benefits/self-funded-erisa-dental-plans-what-you-need-to-know-webinar
- Spotted at a recent insurance meeting: a Humana Medicare
Advantage that has a very, very odd way of applying the yearly
benefit. Be on the lookout for this plan – hope you don’t run into
it. Biggest takeaway? Creative cost containment measures will
continue to pop up.
- An appreciation benefit from carriers? Cool! Paid to you? Even
better! But it belongs to the patient. WHAT? Let’s explore this
more so you’ll know what to do when you see it.
- Submitting secondary explanation of benefits (EOBs): you don’t
need to photocopy in 99% of the cases. Keep the cash flow going by
sending the claims – and the primary EOB - electronically.
- Patients usually have two evaluations per year, right? What
happens when they need three? Let’s talk that through. I give you
some conversation examples – use them, please!
- What type of call breaks my heart the most? Let me share why we
need to listen to the very faint warning bells that ring from time
link for the 2020 Coding Update is live! Grab your spot for my
yearly webinar that reviews the coding changes and what you need to
know about them.
Hope these are helpful for you! I’ve seen many of you on the
road lately and have been blessed with great feedback on the
podcast. Let me hear your suggestions/critiques etc – I do this for
you! I will always appreciate a good rating on Apple, Google Pods
or your current podcast provider. Until the next ep, cheers!
Teresa’s Website- https://www.odysseymgmt.com/
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Teresa’s educational offerings are supported by CareCredit and Weave.