Ep. 40 "Potpourri Episode: Insurance FAQs"

Nobody Told Me That! with Teresa Duncan

Thanks for letting me tell you about the most common inquiries I receive. Today’s episode is a virtual amalgam (see what I did there?) of many insurance issues.

1. Non-covered services: what difference does it make if a plan is self-funded? I give you a quick description so it will click when you see one in the wild. The ADA did a webinar on this if you want more information: https://success.ada.org/en/dental-benefits/self-funded-erisa-dental-plans-what-you-need-to-know-webinar

2. Spotted at a recent insurance meeting: a Humana Medicare Advantage that has a very, very odd way of applying the yearly benefit. Be on the lookout for this plan – hope you don’t run into it. Biggest takeaway? Creative cost containment measures will continue to pop up.
3. An appreciation benefit from carriers? Cool! Paid to you? Even better! But it belongs to the patient. WHAT? Let’s explore this more so you’ll know what to do when you see it.
4. Submitting secondary explanation of benefits (EOBs): you don’t need to photocopy in 99% of the cases. Keep the cash flow going by sending the claims – and the primary EOB - electronically.
5. Patients usually have two evaluations per year, right? What happens when they need three? Let’s talk that through. I give you some conversation examples – use them, please!
6. What type of call breaks my heart the most? Let me share why we need to listen to the very faint warning bells that ring from time to time.
7. The link for the 2020 Coding Update is live! Grab your spot for my yearly webinar that reviews the coding changes and what you need to know about them.

Hope these are helpful for you! I’ve seen many of you on the road lately and have been blessed with great feedback on the podcast. Let me hear your suggestions/critiques etc – I do this for you! I will always appreciate a good rating on Apple, Google Pods or your current podcast provider. Until the next ep, cheers!

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Teresa’s educational offerings are supported by CareCredit and Weave.