Check your patient’s eligibility, benefits and deductibles

November 19, 2021

At the end of the current year, physicians are urged to verify patient eligibility and benefits for 2022 to ensure they will be paid for services rendered. The start of a new year also means that the calendar year deductibles and visit frequency limits are reset. And, with open enrollment, patients can even be covered by a new payer.

Don’t get stuck with unnecessary denials or an upset patient. Do your homework before the patient arrives by obtaining updated insurance information and verifying eligibility at the time of planning, if possible, and making copies of the insurance card at the time of the visit .

And don’t forget that deductibles are generally based on the calendar year and will reset on January 1, as with Health Insurance. For 2022, the annual deductible for all Medicare Part B beneficiaries is $ 233, an increase of $ 30 from the 2021 annual deductible of $ 203. For Medicare Part A, the inpatient hospital deductible that beneficiaries pay if admitted to hospital will be $ 1,556 in 2022, an increase of $ 72 from $ 1,484 in 2021.

The best practice is to communicate with patients during the planning to remind them that their plan has a deductible that can be reset on January 1, and if so, that payment will be due at the time of service.

If you offer an appointment reminder service, remind the patient if payment is due at the time of service. Failure to collect deductibles, co-payments and coinsurance at the time of service can be very costly for a practice, as your ability to collect can decrease dramatically after the patient leaves the practice.

Taking these proactive steps to protect your practice by preventing refusals, late payments, and unhappy patients goes a long way in saving time and money.

For more information on Medicare Parts A and B 2022 premiums and deductibles, Click here.

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