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Apparently the new 90-Day Grace Period is potentially a huge financial liability for Medical Providers. They are pushing HHS to require health insurers (yep..another requirement) to notify relevant medical providers when a patient enters his/her grace period.
Excerpt:
""To protect providers and patients from "unforeseen financial harm," AMA and other associations want CMS to issue a supplemental rule or guidance requiring insurers to meet the notification specifications laid out by the federal agency last October:
Timely notification that patients have entered the grace period will enable physicians to educate patients about the importance of paying their monthly premiums, as well as help physicians anticipate or mitigate the effect of potential claim denials in months two and three of the grace period and better manage the financial aspect of the patient encounter.""
Story: AMA educates physicians about cost of ACA 90-day grace period | EHRintelligence.com
Do Health Insurers want the medical community collecting delinquent premiums, or encouraging patients to keep their premiums paid current?? After all, a significant number of those insureds will be in front of a physician due to medical issues.
-ac
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April 20, 2014
FYI..Under ObamaScare, insurers MUST pay medical bills during the first month of the 90-day grace period. Here's an excerpt from one of this week's BCBS agent newsletters.
"Claims Processing
Payment for all allowable services provided during the first month of the grace period will be the responsibility of BCBSIL, subject to member cost sharing.
During the second and third months of the grace period, BCBSIL will pend the claims the member incurs during this period. If the member pays all outstanding premium payment(s) in full, claims incurred during this period will process according to the member's benefits.
If the member has not paid premiums in full by the end of the grace period, BCBSIL will terminate the member's policy retroactive to the first day of month two of the grace period. BCBSIL will deny any claims pended in months two and three of the grace period."
There's something immoral, if not illegal, about forcing health insurers to pay thousands of dollars in claims when the policy is technically not in force. There's no way an Auto, Home, Life, Disability, etc.. policy/company would pay claims if the policy is not paid up-to-date.
-ac
Excerpt:
""To protect providers and patients from "unforeseen financial harm," AMA and other associations want CMS to issue a supplemental rule or guidance requiring insurers to meet the notification specifications laid out by the federal agency last October:
Timely notification that patients have entered the grace period will enable physicians to educate patients about the importance of paying their monthly premiums, as well as help physicians anticipate or mitigate the effect of potential claim denials in months two and three of the grace period and better manage the financial aspect of the patient encounter.""
Story: AMA educates physicians about cost of ACA 90-day grace period | EHRintelligence.com
Do Health Insurers want the medical community collecting delinquent premiums, or encouraging patients to keep their premiums paid current?? After all, a significant number of those insureds will be in front of a physician due to medical issues.
-ac
----------
April 20, 2014
FYI..Under ObamaScare, insurers MUST pay medical bills during the first month of the 90-day grace period. Here's an excerpt from one of this week's BCBS agent newsletters.
"Claims Processing
Payment for all allowable services provided during the first month of the grace period will be the responsibility of BCBSIL, subject to member cost sharing.
During the second and third months of the grace period, BCBSIL will pend the claims the member incurs during this period. If the member pays all outstanding premium payment(s) in full, claims incurred during this period will process according to the member's benefits.
If the member has not paid premiums in full by the end of the grace period, BCBSIL will terminate the member's policy retroactive to the first day of month two of the grace period. BCBSIL will deny any claims pended in months two and three of the grace period."
There's something immoral, if not illegal, about forcing health insurers to pay thousands of dollars in claims when the policy is technically not in force. There's no way an Auto, Home, Life, Disability, etc.. policy/company would pay claims if the policy is not paid up-to-date.
-ac
