helps resolve patient complaints about fees
John K. Wisniewski
In many cases, patients receive an
explanation of benefits (EOB) that describes your billed charges
as "covered services," and they are left with the
impression that this is the amount you will be paid.
If you receive a complaint, give
the facts - specifically, the actual amount you received from the
payer, the patient balance as determined by the payer in accordance
with their policy, and the total payment you'll receive.
If a patient remains skeptical,
send them a copy of the remittance advice (be sure to black out other
EOBs are designed with input from
the marketing department of the payers. Your efforts toward
transparency will help patients understand the true value of their
coverage and strengthen the trust they have in you.
IN THE SPOTLIGHT
Start the year
From now until Jan. 15, TMA members
receive 25 percent off their entire TMA Education Center purchase!*
Formats include hard copy and
electronic publications, on demand webinars and podcasts. Topics
address billing, coding, fraud and abuse compliance, ethics, practice
management and many others.
to see all the educational materials available through the TMA
live seminars and the Texas Medical Jurisprudence Manual and Study
First Tuesday visit to Austin planned for Feb.
By Mary E. Nava, MBA
BCMS Chief Governmental and
Community Relations Officer
state legislative session beginning this week, TMA and BCMS are
encouraging physician and alliance members to participate in First
Tuesday visits to the Capitol in Austin.
Tuesday program begins Feb. 5 and continues monthly through May.
involves face-to-face meetings between physicians and elected
officials. BCMS schedules appointments with officials, and
attendees participate in the visits as a group.
more, click here.
Medicare payments frozen for another year
after the official deadline, the U.S. Congress on Jan. 1 stepped
away from the so-called "fiscal cliff" and slapped
another one-year patch on physicians' Medicare payments.
on the deal, which averted the 26.5 percent cut in Medicare
payments that was scheduled to take effect Jan. 1,
For more information and local discussion on
legislative advocacy, practice management and other issues,
consider joining the BCMS Socioeconomics and Legislative Committee.
For information, and to sign up for First Tuesdays, contact Mary
Nava at 210-301-4395 or by email.
RSVP for Jan. 26
your BCMS colleagues at the Installation of Officers at 6:30
p.m. Saturday, Jan. 26, at the Witte Museum.
to read more about the 2013 officers and directors.
at the installation, all attendees also will be able to visit
"Mummies of the
World: The Exhibition"
NOTE: A construction project beginning mid-January will
convert Hildebrand Avenue into a one-way, east-bound street
between the San Antonio River and North New Braunfels
Avenue. Alternative east-west routes to the Witte from U.S.
Highway 281 include Basse Road and Mulberry Avenue. Those attending
the BCMS installation may want to allow extra travel time.
To RSVP for this special event,
About The Weekly Dose
The Weekly Dose is a service of the Bexar
County Medical Society.
Some of the suggestions conveyed may not be applicable to
your practice today,
but the goal is to offer information over time that returns value
of the cost of your membership.
If you would like to recommend future topics to share with
please submit them to the BCMS executive director at firstname.lastname@example.org.
All rights reserved. Unauthorized use prohibited.
Copyright © 2013
Bexar County Medical Society, San Antonio, Texas.