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ACA Grace Period - How will this affect Billing Services?

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PMRNC:

--- Quote ---I'm curious what your defense would be if you get sued by the carrier(s) you are par with.  I'm sure that charging the patient more than the allowed amount violates the terms of the contract with the carrier you are par with.
--- End quote ---

I'm not showing where I said we charged more than the allowed amounts, however with all of my clients we have been preparing for this and other contractual issues since Sept/October. The grace periods were in place over 2 years before everyone started worrying about it. All of the carriers we participate with and have contracts with are with "Actively" insured, for the policy and our contract to be binding the patient needs to confirmed as eligible. That would be our defense.

 

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