{"id":212,"date":"2024-04-07T07:15:38","date_gmt":"2024-04-07T07:15:38","guid":{"rendered":"http:\/\/www.mgsionline.com\/blog\/?p=212"},"modified":"2024-05-21T09:17:05","modified_gmt":"2024-05-21T09:17:05","slug":"importance-insurance-eligibility-verification","status":"publish","type":"post","link":"https:\/\/www.mgsionline.com\/blog\/importance-insurance-eligibility-verification\/","title":{"rendered":"Importance of Insurance Eligibility Verification"},"content":{"rendered":"<p><a href=\"http:\/\/www.mgsionline.com\/eligibility-verification.html\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-214\" src=\"http:\/\/www.mgsionline.com\/blog\/wp-content\/uploads\/2017\/03\/healthcare-insurance-verification-importance.jpg\" alt=\"insurance eligibility verification\" width=\"600\" height=\"300\" srcset=\"https:\/\/www.mgsionline.com\/blog\/wp-content\/uploads\/2017\/03\/healthcare-insurance-verification-importance.jpg 600w, https:\/\/www.mgsionline.com\/blog\/wp-content\/uploads\/2017\/03\/healthcare-insurance-verification-importance-300x150.jpg 300w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/a><\/p>\n<p>A review as it relates to denials or delays in payments of a practice\u2019s A\/R (<a href=\"http:\/\/www.mgsionline.com\/ar-recovery.html\">account receivables<\/a>) may result in findings that insurance eligibility-verification is not being done correctly or at all by the office staff.\u00a0 Today\u2019s healthcare environment has produced confusion on insurance plans not only to physician practices, but to patient\u2019s with the plan.\u00a0 Many of the affected patients are unfamiliar with how healthcare insurance works or those with low cost premiums results in a higher deductible or coinsurance.\u00a0 As a result your patient account receivables begin to escalate rapidly or the frequency of denials increases as well.\u00a0 <a href=\"http:\/\/www.mgsionline.com\/eligibility-verification.html\">Insurance eligibility-verification<\/a> is critical in today\u2019s healthcare environment and must be performed before the patient is actually seen by the physician in order to reduce the probability of services being denied for payment.<\/p>\n<p>MGSI\u2019s <a href=\"http:\/\/www.mgsionline.com\/physician-medical-practice-management.html\">Practice management<\/a> software allows the physician\u2019s office staff to obtain real-time insurance eligibility verification.\u00a0 In addition, many payers have options to check patient eligibility on their website. Insurance verification not only will confirm if the patient has coverage, but what the patient\u2019s deductible is, how much has been met, and even if the patient\u2019s policy may be suspended due to lack of premium payments. Having an experienced team to also verify if a certain procedure (in office or in a facility) is covered under the patient\u2019s plan or if authorization is required is essential.<\/p>\n<p>If you are not verifying benefits electronically- do you have use an insurance verification form?\u00a0 Is your staff trained in the right questions to ask when calling payers?<\/p>\n<p>Physician offices often make the mistake of not having sufficient staff to accomplish these daily tasks to insure the physician will be reimbursed for services that will be rendered or performed.\u00a0 Many times the staff in the offices that have the responsibility for insurance-eligibility has so many other tasks they are responsible for which makes it difficult if not impossible for them to handle this daily task as the daily practice environment can be hectic. Some of these other tasks are , to name a few:\u00a0 checking in patients, check out, answering phones, handling referrals, filling in for staff who are out sick or on vacation, etc., therefore, not having dedicated time to verify insurance eligibility prior to the patient coming into the office.<\/p>\n<p>When requesting or obtaining a referral from a payer, physician office staff often time do not obtain the correct referral for the correct service (CPT code) which will be performed.\u00a0 We often see referrals coming in with charges where the referral obtained is completely unrelated to the service rendered, therefore, causing an expected immediate denial of the claim.<\/p>\n<p>Collaborating with an outside <a href=\"http:\/\/www.mgsionline.com\">medical billing company<\/a> to provide insurance eligibility verification for your practice will result in insuring that physician services, procedures performed in the office will have a positive financial result to the physician.<\/p>\n<p><strong>About MGSI:<\/strong><\/p>\n<p>As a national <a href=\"http:\/\/www.mgsionline.com\/medical-billing-florida.html\">medical billing company based in Tampa, Florida<\/a> since 1992, MGSI can provide you with insurance eligibility services.\u00a0 For more details, please visit www.mgsionline.com<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A review as it relates to denials or delays in payments of a practice\u2019s A\/R (account receivables) may result in findings that insurance eligibility-verification is not being done correctly or at all by the office staff.\u00a0 Today\u2019s healthcare environment has produced confusion on insurance plans not only to physician practices, but to patient\u2019s with the plan.\u00a0 Many of the affected&#8230; <a href=\"https:\/\/www.mgsionline.com\/blog\/importance-insurance-eligibility-verification\/\">Read more &raquo;<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,32],"tags":[33,34],"class_list":["post-212","post","type-post","status-publish","format-standard","hentry","category-healthcare-policy","category-insurance-verification","tag-insurance","tag-insurance-eligibility-verification"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Importance of Healthcare Insurance Eligibility Verification | MGSI<\/title>\n<meta name=\"description\" content=\"With 25+ years of experience, MGSI can provide you with insurance eligibility verification services. For more details, please visit www.mgsionline.com\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mgsionline.com\/blog\/importance-insurance-eligibility-verification\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Importance of Healthcare Insurance Eligibility Verification | MGSI\" \/>\n<meta property=\"og:description\" content=\"With 25+ years of experience, MGSI can provide you with insurance eligibility verification services. For more details, please visit www.mgsionline.com\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.mgsionline.com\/blog\/importance-insurance-eligibility-verification\/\" \/>\n<meta property=\"og:site_name\" content=\"MGSI-Blog\" \/>\n<meta property=\"article:published_time\" content=\"2024-04-07T07:15:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-05-21T09:17:05+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.mgsionline.com\/blog\/wp-content\/uploads\/2017\/03\/healthcare-insurance-verification-importance.jpg\" \/>\n<meta name=\"author\" content=\"admin2\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin2\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.mgsionline.com\/blog\/importance-insurance-eligibility-verification\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.mgsionline.com\/blog\/importance-insurance-eligibility-verification\/\"},\"author\":{\"name\":\"admin2\",\"@id\":\"https:\/\/www.mgsionline.com\/blog\/#\/schema\/person\/56db53654be7af647277d8d47d98b37a\"},\"headline\":\"Importance of Insurance Eligibility Verification\",\"datePublished\":\"2024-04-07T07:15:38+00:00\",\"dateModified\":\"2024-05-21T09:17:05+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.mgsionline.com\/blog\/importance-insurance-eligibility-verification\/\"},\"wordCount\":517,\"image\":{\"@id\":\"https:\/\/www.mgsionline.com\/blog\/importance-insurance-eligibility-verification\/#primaryimage\"},\"thumbnailUrl\":\"http:\/\/www.mgsionline.com\/blog\/wp-content\/uploads\/2017\/03\/healthcare-insurance-verification-importance.jpg\",\"keywords\":[\"insurance\",\"insurance eligibility verification\"],\"articleSection\":[\"Healthcare Policy\",\"insurance verification\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.mgsionline.com\/blog\/importance-insurance-eligibility-verification\/\",\"url\":\"https:\/\/www.mgsionline.com\/blog\/importance-insurance-eligibility-verification\/\",\"name\":\"Importance of Healthcare Insurance Eligibility Verification | MGSI\",\"isPartOf\":{\"@id\":\"https:\/\/www.mgsionline.com\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.mgsionline.com\/blog\/importance-insurance-eligibility-verification\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.mgsionline.com\/blog\/importance-insurance-eligibility-verification\/#primaryimage\"},\"thumbnailUrl\":\"http:\/\/www.mgsionline.com\/blog\/wp-content\/uploads\/2017\/03\/healthcare-insurance-verification-importance.jpg\",\"datePublished\":\"2024-04-07T07:15:38+00:00\",\"dateModified\":\"2024-05-21T09:17:05+00:00\",\"author\":{\"@id\":\"https:\/\/www.mgsionline.com\/blog\/#\/schema\/person\/56db53654be7af647277d8d47d98b37a\"},\"description\":\"With 25+ years of experience, MGSI can provide you with insurance eligibility verification services. 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