Home Heath

I'm curious how other agencies handle notification to patients upon admission of potential co-insurance, copays, and deductibles for home health services (commercial/MA plans) that are out-of-network.  Our consent indicates that the patient may be responsible for a co-pay, but logistically it's challenging to specify the actual dollar amount given the variables of episodic billing. We typically bill the insurance company first, but there is a lag between that point and then notifying a patient of an amount due.  When/how do others notify the patient of the co-insurance amounts and how are you indicating the actual amount that may be due by the patient at the initiation of services? 
Thank you!

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Christopher Pankratz
CEO
Masters in Home Care, LLC
Rocky Hill CT
(860) 265-4427
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Our Intake department verifies benefits and calls patient or family prior to the SOC to notify them of any copays, coinsurance, deductibles.  They also tell the patient that they may not receive a bill from us for a few months until the billing process is completed.  After having that conversation, it is documented in the chart and continues to be there for clinicians to reference (I honestly don't think clinicians look there, but its available).

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Amy Genthe
Lead Quality Manager
Porter Hills Home Health West
Grand Rapids MI
agenthe@mybrio.org
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Original Message:
Sent: 06-09-2022 13:56
From: Christopher Pankratz
Subject: Billing co-insurance/co-pays/Deductibles?

I'm curious how other agencies handle notification to patients upon admission of potential co-insurance, copays, and deductibles for home health services (commercial/MA plans) that are out-of-network.  Our consent indicates that the patient may be responsible for a co-pay, but logistically it's challenging to specify the actual dollar amount given the variables of episodic billing. We typically bill the insurance company first, but there is a lag between that point and then notifying a patient of an amount due.  When/how do others notify the patient of the co-insurance amounts and how are you indicating the actual amount that may be due by the patient at the initiation of services? 
Thank you!

------------------------------
Christopher Pankratz
CEO
Masters in Home Care, LLC
Rocky Hill CT
(860) 265-4427
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