Practice Management Alert
Check to See if You Deserve a Share of the Capital Blue Settlement
Also, UHC offers a revised appeal form If you treat participants in Capital Blue Plans, take note: A preliminary settlement agreement has been reached with the Capital Blue Plans in the Love, et al. v. Blue Cross Blue Shield Association nationwide class-action lawsuit brought by 90,000 physicians. The Capital Settlement involves Capital BlueCross, Capital Advantage Insurance Company and Keystone Health Plan Central. "Virtually any physician who treated one or more enrollees of any BCBS plan that is a primary licensee, including an enrollee through a BCBS plan from another state, between January 1, 1996, and March 12, 2008, can participate in this settlement and claim at least one share. If a physician has provided services to patients covered by any of the settling Capital Blue Plans, the physician qualifies for 10 times the base amount of the settlement fund," says the American Medical Association on its Web site (http://www.ama-assn.org/ama/pub/category/18551.html). In Other News: In its May 2008 NetworkBulletin, UnitedHealthcare announced that you should begin using the revised "claim reconsideration request form" for any claim reconsideration requests or formal appeal requests. You can find the form on UHC's Web site (http://www.unitedhealthcareonline.com) under Claim Reconsideration. The payer's bulletin explains that the form now has interactive fields that you can use to type and print the form rather than fill it out by hand.
Practice Management Alert
- Is Lack of Verification Costing Your Practice? Stop the Bleeding
Implement an eligibility check before the patient comes into your office Verifying insurance coverage and [...] - You Be the Billing Expert:
Learn the Do's and Don'ts of Setting Fees
Question: We have several patients who are cash/self-pay patients without insurance. My physician would like [...] - Ease Your Verification Woes With 6 Quick Tips
Check everyone's insurance card -- even established patients Insurance changes happen so often, keeping up [...] - Clip and Save:
Capture Every Insurance Detail With This Form
Tip: Remember to ask about secondary insurance Having a form you can use consistently to [...] - News You Can Use:
Don't Yet Change Your Incident-To Billing
CMS rescinded its latest advice and doesn't plan to replace it If you-ve had Transmittal [...] - Recipe for Billing Success:
Don't Rule Out Billing if Documentation Is Missing
3 steps ensure you-re using compliant documentation Every biller comes across this situation at least [...] - Reader Questions:
NPI Denials May Be From 1 Small Detail
Question: I applied for my NPI early, put it on my claims by the deadline, [...] - Reader Questions:
Don't Ignore Patient Status for WC Claims
Question: My provider said that if an established patient comes in for workers- comp, we [...] - Reader Questions:
Avoid Record Withholding As a Collections Effort
Question: A patient who owes us a lot of money is now seeing a new [...] - Payer Updates:
Check to See if You Deserve a Share of the Capital Blue Settlement
Also, UHC offers a revised appeal form If you treat participants in Capital Blue Plans, [...]
