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…
Verification Support Tools
Download Support Tools The verification process is often a team effort. A clinic will sometimes share the responsibility during slower times and lunch time. It helps to have everyone on the same page using the same system. The Support Tool titled Carrier and Verification Reference Tool allows the clinic to have on hand the numbers…
Verify QMB Prior to Charge Entry
Defining QMB The QMB (Qualified Medicare Beneficiary) program is a State Medicaid benefit that guides low-income Medicare beneficiaries through Medicare Part A and Part B premiums and cost-sharing. This includes deductibles, coinsurance, and copays. You will likely have QMB patients seeking treatment in your clinic given the fact that in 2017, 7.7 million people (more…