Article

Untimely filing denial - patient fault, now what?

Provided by:  Jennifer Kirschenbaum, Esq.

March 19, 2019

 

 

Question: 


Hi Jennifer,

A patient gives us incorrect insurance information. We submit the bill based on the information we received. After a wait an explanation of benefits comes back stating that the patient is not insured by that company. We reach out to the patient who then gives us different insurance information. We send the bill to that insurance company who denies payment based on the fact that it wasn’t filed in a timely basis. In addition the new insurance company tells. The patient that they are not responsible. In my mind since the patient gave us the wrong information and we properly acted on it the patient should be responsible. What are your thoughts?

Thanks, 
Dr. W
 
 


Answer:

The patient should have signed a financial policy that holds him/her accountable financially for the visit if not reimbursable by insurance, for one reason or another.  Up to you how strenuous of efforts you wish to employ to collect... 

If you do not have a financial policy, check out our standard intake and compliance forms
 

 


Looking for the KK Healthcare Exchange?  Click Here. 

MISSED OUR RECENT WEBINARS?  CLICK HERE ANYTIME!
Looking for HIPAA and compliance forms?  
Click here to visit our website.
Have a question or comment for Jennifer?
Contact Jennifer at Jennifer@Kirschenbaumesq.com or  at (516) 747-6700 x. 302.
Interested in having Jennifer speak at an event or
at a residency/fellowship program?
Contact Jennifer directly at (516) 747-6700 x. 302 or at Jennifer@Kirschenbaumesq.com
Click here to learn about
K&K's Prepaid Legal Audit/Investigation Defense Now!
Untimely filing denial - patient fault, now what? - March 19, 2019 - Jennifer Kirschenbaum

Article

Untimely filing denial - patient fault, now what?

Provided by:  Jennifer Kirschenbaum, Esq.

March 19, 2019

 

 

Question: 


Hi Jennifer,

A patient gives us incorrect insurance information. We submit the bill based on the information we received. After a wait an explanation of benefits comes back stating that the patient is not insured by that company. We reach out to the patient who then gives us different insurance information. We send the bill to that insurance company who denies payment based on the fact that it wasn’t filed in a timely basis. In addition the new insurance company tells. The patient that they are not responsible. In my mind since the patient gave us the wrong information and we properly acted on it the patient should be responsible. What are your thoughts?

Thanks, 
Dr. W
 
 


Answer:

The patient should have signed a financial policy that holds him/her accountable financially for the visit if not reimbursable by insurance, for one reason or another.  Up to you how strenuous of efforts you wish to employ to collect... 

If you do not have a financial policy, check out our standard intake and compliance forms
 

 


Looking for the KK Healthcare Exchange?  Click Here. 

MISSED OUR RECENT WEBINARS?  CLICK HERE ANYTIME!
Looking for HIPAA and compliance forms?  
Click here to visit our website.
Have a question or comment for Jennifer?
Contact Jennifer at Jennifer@Kirschenbaumesq.com or  at (516) 747-6700 x. 302.
Interested in having Jennifer speak at an event or
at a residency/fellowship program?
Contact Jennifer directly at (516) 747-6700 x. 302 or at Jennifer@Kirschenbaumesq.com
Click here to learn about
K&K's Prepaid Legal Audit/Investigation Defense Now!