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Patient Balances: Are Carriers Calculating the Patient Payment Correctly?

Patient payments are on the rise.

You know it and statistics support it. According to AthenaHealth PayerView 2012, the weighted Provider Collection Burden increased by 7 percent from 2010 2011 from 16.7 percent to 17.8 percent. Where is it headed in 2013?

Higher, of course!

Because the patient collection burden is frequently difficult to calculate, patients invariably question the balance. Further, some patient balances may not seem consistent with the information obtained during the verification and/or eligibility check. It is important to have a request letter seeking clarification from the carrier regarding the patient deductible/co-pay calculations. Read the rest of this article for just such a letter. . . .. . . . (to read the remainder of this article, please log in below.)
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