Patient Acknowledgment for Non-Covered Services

Obtaining Patient Acknowledgment  Some carriers (with whom the doctor may or may not participate) may not allow a particular service or product the patient needs, or their fee schedule assigned to the service or product may be far below the doctor’s costs. Depending on the doctor’s contract with the carrier, the patient may be able...
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Reference Documents -Verifying VA Coverage

 Reference Documents The VA provides an abundant number of resources to assist with managing referrals and submitting authorization request. One of the most helpful tools is the HealthShare Referral Manager system. This online portal helps providers stay on top of referrals. In addition to that gateway is the helpful VHA Training portal. The reference documents...
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Verifying Medicaid Benefits

Medicaid coverage and eligibility can be a moving target since states base policies on current legislation and available funds. Because of the variety of restrictions, it’s vital to confirm benefits for every patient and every visit, in order to bill correctly and compliantly. This tutorial provides guidance on locating information online and additional information on...
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Reference Documents Workers’ Compensation Verification

 Reference Documents In this module we discussed some of the specific forms that may be required for federal injury claims. Listed below are sample forms that are common when requesting medical authorization as well as directions on billing procedures. As always, we recommend that you check the carrier website for the most current versions. CA-16...
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Worker’s Compensation Verification Form

Support Tool Once a clinic has determined the type of coverage and located state and federal online provider resources, it is time to verify the benefits. Although the state and federal website portals offer great resources when it comes to manuals and forms, they do not provide the information necessary to ensure reimbursement for the...
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Helpful Tools for Verification

Helpful Tools for Verification

Once you have determined the type of coverage and located your state and federal online provider resources, it is time to verify the benefits. Although the state and federal website portals offer great resources when it comes to manuals and forms, they do not provide the information you need to ensure reimbursement for the services rendered.

It can be challenging to think about all the questions you need to ask when verifying coverage for a work-related injury. The support tool in this module will help you gather the information you need when calling about a work injury claim. Check out the Rapid Tutorial titled Utilize the Workers’ Compensation Verification Form which provides a brief overview of the verification form and how to customize it for your clinic. You may want to download the Support Tool titled Workers’ Compensation Verification Form ahead of time and follow along during the tutorial.