A simple break-even calculation turns a reimbursement advantage into staff minutes, showing practices when prior authorization, denials and uncollected patient balances wipe out a better rate.
|Articles|March 6, 2009
Texas doctors fight health-plan rescissions
Author(s)Morgan Lewis Jr.
The Texas Medical Association is fighting the ability of health plans to revoke a patient's policy-and your payments-after claims have been filed.
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The Texas Medical Association, the nation's largest state medical society, is fighting the ability of health plans to revoke a patient's policy-and your payments-after claims have been filed.
Texas law currently allows health insurers to rescind patients' policies, and the TMA wants state lawmakers to form an independent review organization to study the insurer's decision before any action is taken.
"Patients deserve a heads-up that the insurer intends to terminate their policy, and they also deserve a chance to fix an honest mistake before being cut off," says Albert Gros, MD, chair of the Council on Legislation for TMA.
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