WSJ – HealthCare.gov to Tighten Eligibility Checks

Wall Street Journal LogoWSJ – HealthCare.gov to Tighten Eligibility Checks

In a February 25th Wall Street Journal article, the Obama administration advises they will require/perform additional verification for enrollment occurring outside of the enrollment period. This additional verification is necessary because many enrollees are waiting until they are sick to sign up thus driving up Insurer costs and by proxy insured premiums.

Specifically:

HealthCare.gov to Tighten Eligibility ChecksWSJ Journalist, Stephanie Armour highlights the special enrollment periods generally allow consumers to obtain coverage if they move, lose their current health insurance or have a change in their life circumstance such as marriage. Many people do sign up after official enrollment ends: Nearly 950,000 new consumers selected a plan through the federal exchange outside the open enrollment period between Feb. 23 and June 30, 2015, federal officials said in August.

Per CMS (the Center for Medicare and Medicaid Services, they will require verification of eligibility. A new check box will be present on the Healthcare.gov (for states that did not set up an exchange) where signatories will aver that they are eligible or akin to being under oath.

Verification like this makes timely billing all the more important. Physicians Billing Service always bills within 24 business hours and has a financial stake in that we do not get paid until you get paid. If you are looking for an outstanding, integrated EHR (Electronic Health Medical Records) and Practice Management System, look no further.  At the request of our Physician clients for no hassle outsourcing, Physicians Billing Service offers state-of-the-art EHR and Practice Management Systems as a value-added software-as-a-service. Our Medical Billing Company can even train you how to efficiently use it. Call our President Michelle Stahl at 703-978-0756 or contact us here.

To read ‘HealthCare.gov to Tighten Eligibility Checks’ on the Wall Street Journal web site, click here.


By Michelle Stahl, Owner, Physicians Billing Service

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