Tuesday, August 26, 2014

On the ACA: Towards New Health Insurance Marketplace Coverage Options

For those interested in finding a suitable health plan, the online Affordable Care Act marketplace has made it possible for people and small businesses to find and buy a subsidized plan for themselves. This marketplace will provide many government-owned private health care providers to choose from and will not be able to deny health insurance to anyone based on health status or gender. Obama’s health care plan foregoes the annual and lifetime limits on coverage and gives access to Americans making less than 400% of the Federal Poverty Level. Despite the criticism given by many lawmakers and select citizens alike, the Affordable Care Act has given health care coverage to more Americans. If you are still uninsured and wish to apply, finding out if you’re eligible for the ACA with the help of consultants like those from DECO Recovery Management is a good way to start.

Monday, August 25, 2014

SSD Insurance Eligibility for Disabled Children

Aside from social security disability (SSD) services, the proper agencies themselves have also taken measures to clarify who qualifies for SSD benefits. Although the common perception is that senior citizens are the primary benefactors, disabled minors can also enjoy SSD benefits.

The SSA's factsheet on SSD insurance highlights three simple rules that identify an eligible disabled child. Here are the rules in detail.

Sunday, August 24, 2014

Social Security Disability Benefits: For People with Disabilities

The SSA has set guidelines for eligibility for their social security disability insurance programs. This is for people who are not born disabled as there are other programs that cater to them. For these tests, if one incurs a disability from an accident (for example), one would qualify for benefits if one had worked for a total of 7 years in the past. One could also qualify if one had worked at least 5 years out of 10 leading up to the period the disability began. The test is based and depends on the age such disability was incurred or began. This “duration of work” does not have to fall within a particular period of time.

Friday, August 22, 2014

A Look into Eligibility for Medicaid and Benefits of Being Qualified

Applicants denied for Medicaid will be notified accordingly. In the meantime, if they would need medical care, they can seek hospitals and clinics who open their doors to the uninsured. In turn, hospitals can refer these uninsured patients to eligibility specialists, like the ones from DECO Recovery Management, to learn more about their eligibility and appeal the denial. Patients who are approved for SC’s Medicaid program play a vital role in healthcare revenue cycle management systems. However, SC has eligibility requirements that patients must comply with first. Once they are deemed eligible, they can enjoy the benefits of Medicaid including a comprehensive medical coverage.

Sunday, August 17, 2014

Get SSA to Approve that Disability Claim

With 12% of the American population having some form of disability, it is not surprising that the Social Security Administration (SSA) gets over two million Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) applications every year. However, not more than six hundred thousand of these applications are approved and awarded benefits during initial determination.

The SSA denies many SSI and SSDI benefits applications over technicalities that could have been avoided with preparation or guidance from eligibility specialists. Some of the common reasons for application denials are:

Sunday, August 10, 2014

Revisiting New Provisions for Medicaid

You may have failed to qualify for Medicaid last year, but with this year's expansion, you might just be one of 100,000 newly eligible Marylanders. Thanks to the Affordable Care Act, coverage is now expanded for the poorest Americans by allowing the states to provide Medicaid eligibility, starting Jan. 1, 2014. To qualify, an applicant must be within ages 19-64, a U.S. citizen or qualified alien with 5 years stay in the country, and a legal resident of MD.

Tuesday, August 5, 2014

The Affordable Care Act Marketplace is Open to Those Who Lost Coverage

When this happens, you’ll need to find a way to replace the coverage you’ve recently lost. One way to do so would be to check new health insurance marketplace coverage options. The Patient Protection and Affordable Care Act, a.k.a. Obamacare, has made health insurance much more affordable to people, and you would be wise to see what options are available to you. You may recall that Obamacare had an open enrollment schedule earlier this year, and that open enrollment window is now closed. This doesn’t mean you can no longer apply for health insurance. The main point of Obamacare was to provide every American with affordable healthcare, and that those who truly need insurance cannot be denied coverage.

Sunday, August 3, 2014

Why is Revenue Cycle Management Necessary?

Running a health practice is simultaneously a rewarding and challenging endeavor. On the one hand, you get to heal people of what ails them; on the other, there’s a mound of paperwork you need to accomplish. Then there’s also the issue of collecting payments from the patients you’ve treated.

To make daily operations smoother, many hospitals and clinics utilize what’s called a revenue cycle management (RCM) system. This tool, which is a type of software, offers two key benefits:

Knowing Social Security Disability Eligibility: Qualifying Conditions

To determine just how severe your disability is, you will have to undergo extensive medical examination. This can either be required by the SSA (in which the federal agency may shoulder the financial aspects), or requested by your legal representative for appeal purposes in case your claim is denied. If you’re not sure and need to confirm your social security disability eligibility, you can always depend on private firms like DECO Recovery Management to advise you on eligibility matters. Make sure that you confirm the chances of your eligibility before attempting to file your claim to avoid wasting time and money that you could have used to remedy your financial condition instead.

Friday, August 1, 2014

Optimizing Healthcare Revenue Cycle Management for Medical Businesses

How well you begin the revenue management process is crucial to how fast you can get paid. This means that you should hire competent receptionists and registration personnel to get the patient’s contact details. Whoever is at the desk to answer calls or take patient data should already know the questions to ask and the kind of information to collect. Creating patient records should be fast and efficient. Verify Eligibility Immediately As part of the data gathering process, you should have your receptionist confirm the patients’ eligibility for Medicaid, even before he goes to your office for the appointment. Pre-visit verification will make things easier for your office, so that information is clear and laid out, and whatever data needed to be added have been recorded or corrected. Sometimes, appointments have to be rescheduled until coverage for the patient has been determined.