{"id":65,"date":"2022-02-03T16:40:56","date_gmt":"2022-02-04T00:40:56","guid":{"rendered":"http:\/\/www.sharpab.com\/Blog\/?p=65"},"modified":"2022-02-04T12:10:14","modified_gmt":"2022-02-04T20:10:14","slug":"how-you-handle-medicare-deductibles-affects-your-bottom-line","status":"publish","type":"post","link":"https:\/\/www.sharpab.com\/Blog\/general\/how-you-handle-medicare-deductibles-affects-your-bottom-line\/","title":{"rendered":"How you handle Medicare deductibles affects your bottom line"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\"><\/h1>\n\n\n\n<p><strong>Why this is important<\/strong><\/p>\n\n\n\n<p>The way that you process claims that have a Medicare deductible is important.&nbsp; If done right, it will improve overall collections.&nbsp; A good billing company or department should know this simple trick if they want to make sure to maximize collections.<\/p>\n\n\n\n<p>This technique will help you collect more and if you are neglecting to do this, you are definitely collecting less for your stakeholders.&nbsp; It is one of those little things that when coupled with other processes combine to increase overall collections significantly\u2013and it is easy to implement.<\/p>\n\n\n\n<p><strong>What problem are you solving with this process?<\/strong><\/p>\n\n\n\n<p>The patient-paid deductibles are not getting substantially paid. No matter how many invoices, statements, calls to a patient (or even sending the accounts to collections), the collection rate is low versus collecting that deductible from Medicare. Compounding this, these same deductibles are not paid by Medicaid programs in most states.&nbsp; Medicaid is often the secondary payer to Medicare, leaving these deductibles uncollectable.&nbsp; The deductible simply becomes lost revenue.&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<p>But a simple change in billing process can assist in making sure the Medicare deductibles on Self Pay and Medicaid secondary claims do not show up on your billed transport.&nbsp;&nbsp;<\/p>\n\n\n\n<p><strong>Simple solution &#8211; keep unpaid Medicare deductibles off of your bills&nbsp;&nbsp;<\/strong><\/p>\n\n\n\n<p>How is this done?\u00a0 First identify if the Medicare patient for this claim still has an unused deductible. \u00a0 Next hold off on sending Medicare claims with unused deductibles until other payers\u2019 claims for a Medicare payment have exhausted the deductible. This one technique will add significant revenue to your annual collections.\u00a0 We also take advantage of this technique to ensure you get paid from programs like California\u2019s QMB and other states\u2019 programs, where Medicaid will not pay that deductible and you cannot bill the patient. We ensure you are not losing that revenue by waiting until another payer sends a bill exhausting the deductible.\u00a0 By waiting, you will collect more.\u00a0<\/p>\n\n\n\n<p>The next part of this technique will ensure minimum cash flow reduction. The second critical piece of this important technique is to recheck often to see if the deductible has been used.\u00a0 At minimum, you should check two or more times a week. This provides for immediate billing once the deductible is exhausted.\u00a0\u00a0<\/p>\n\n\n\n<p>This is one in a series of simple changes to the billing process that can enhance your overall collections.&nbsp; Look for future blog posts with other valuable techniques.&nbsp;<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Why this is important The way that you process claims that have a Medicare deductible is important.&nbsp; If done right, it will improve overall collections.&nbsp; A good billing company or department should know this simple trick if they want to make sure to maximize collections. This technique will help you collect more and if you &hellip; <a href=\"https:\/\/www.sharpab.com\/Blog\/general\/how-you-handle-medicare-deductibles-affects-your-bottom-line\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">How you handle Medicare deductibles affects your bottom line<\/span><\/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],"tags":[],"class_list":["post-65","post","type-post","status-publish","format-standard","hentry","category-general"],"_links":{"self":[{"href":"https:\/\/www.sharpab.com\/Blog\/wp-json\/wp\/v2\/posts\/65","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sharpab.com\/Blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.sharpab.com\/Blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.sharpab.com\/Blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sharpab.com\/Blog\/wp-json\/wp\/v2\/comments?post=65"}],"version-history":[{"count":4,"href":"https:\/\/www.sharpab.com\/Blog\/wp-json\/wp\/v2\/posts\/65\/revisions"}],"predecessor-version":[{"id":71,"href":"https:\/\/www.sharpab.com\/Blog\/wp-json\/wp\/v2\/posts\/65\/revisions\/71"}],"wp:attachment":[{"href":"https:\/\/www.sharpab.com\/Blog\/wp-json\/wp\/v2\/media?parent=65"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.sharpab.com\/Blog\/wp-json\/wp\/v2\/categories?post=65"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.sharpab.com\/Blog\/wp-json\/wp\/v2\/tags?post=65"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}