{"id":4254,"date":"2017-01-20T10:31:01","date_gmt":"2017-01-20T10:31:01","guid":{"rendered":"https:\/\/ipatientcare.com\/?p=4254"},"modified":"2022-04-19T12:30:12","modified_gmt":"2022-04-19T12:30:12","slug":"estimate-patient-expected-out-of-pocket-responsibility","status":"publish","type":"post","link":"https:\/\/ipatientcare.com\/blog\/estimate-patient-expected-out-of-pocket-responsibility\/","title":{"rendered":"Estimate Patient Expected Out-of-Pocket Responsibility"},"content":{"rendered":"<p>It&#8217;s nearly 75% of provider organizations&#8217; bad debt is reported from outstanding patient balances. Thanks to the Affordable Care Act plans high deductibles and larger co-pays continue to soar in patient financial responsibilities.<\/p>\n<p><strong>Ground Reality:<\/strong> A larger portion of patients walks out of the provider&#8217;s office without paying a dime. This trend is soaring on the higher side because of the inability to determine what you can collect. Co-payments are a given sure shot, but will your payer contracts allow you to capture coinsurance and unmet deductibles?<\/p>\n<p>To handle these un-toward incidents update practice policy to collect these monies at the time of service and require patients to sign such financial agreement forms.<\/p>\n<p><strong>Correct Approach:<\/strong> Time-of-Service collection(s) starts right before the patient even arrives at the provider&#8217;s office. When patients call for appointments, set and establish the right expectations and make them aware of their current standings by reviewing the account ledger. Give a gentle reminder of your policy by saying: &#8220;We do expect payment at the time of service, Ms. Gomez.&#8221; and\/or saying &#8220;Ms. Gomez, I notice that you have a balance.&#8221;<\/p>\n<p><strong>Automation Tool:<\/strong> iPatientCare Patient Payment Estimation is a contract-based advanced estimation tool with the ability to produce estimates of patients&#8217; medical costs. Patient Payment Estimator allows your staff to give patients written estimates of their expected out-of-pocket responsibility after payment by their insurance carrier based on their plan coverage.<\/p>\n<p><strong>iPatientCare Patient Payment Estimator<\/strong> <strong>analyzer<\/strong> shares the provider\u2019s negotiated contractual reimbursements; the historical, procedural information along with the charge description master information; and patient-specific, year-to-date benefit data to arrive at the most credibly defensible estimates of the patient\u2019s out-of-pocket financial responsibility.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>It&#8217;s nearly 75% of provider organizations&#8217; bad debt is reported from outstanding patient balances. Thanks to the Affordable Care Act plans high deductibles and larger co-pays continue to soar in patient financial responsibilities. Ground Reality: A larger portion of patients walks out of the provider&#8217;s office without paying a dime. This trend is soaring on [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":4256,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","content-type":"","footnotes":""},"categories":[328],"tags":[190,191,192],"class_list":["post-4254","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pms","tag-estimator-analyzer","tag-out-of-pocket-responsibility","tag-patient-payment-estimator"],"_links":{"self":[{"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/posts\/4254","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/comments?post=4254"}],"version-history":[{"count":4,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/posts\/4254\/revisions"}],"predecessor-version":[{"id":10628,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/posts\/4254\/revisions\/10628"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/media\/4256"}],"wp:attachment":[{"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/media?parent=4254"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/categories?post=4254"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/tags?post=4254"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}