Home Health & Hospice Week

Understand coordination of benefits to receive your rightful reimbursement. Still have questions about the often-confusing rules for Medicare Secondary Payer claims? Here are answers to your dual-payer billing questions. Background: When a patient is covered by two insurance companies, claims processing can be confusing. Add in differing payer claims processes and patients who might not give you all the information you need, and primary and secondary payer cases can lead to reimbursement loss -- not to mention biller headaches. You can ethically maximize your company's reimbursement and reduce the costs of administering claims for patients covered by more than one payer if you understand coordination of benefits (COB) and how both insurers are supposed to pay. 1. What Does Coordination of Benefits Even Mean? COB is a common clause in many health insurance policies. It specifies how the insurer will reimburse for services when more than one insurance plan is applied [...]