Updated:March 16, 2022
Whywill the HRSA COVID-19 Uninsured Program stop accepting claims?
The HRSA COVID-19 Uninsured Program(UIP) will soon stop accepting claims due to a lack of sufficient funds. Theprogram will continue to accept claims for testing and treatment until 11:59 PMon March 22, 2022 and claims for vaccine administration until 11:59 PM on April5, 2022.
Any testingand treatment claims submitted in the Portal after March 22, 2022, will not beadjudicated for payment.
Any vaccineadministration claims submitted in the Portal after April 5, 2022, will not beadjudicated for payment.
Whenis the final deadline to submit claims for reimbursement?
The deadlines to submit claims foreach category of service are as follows:
Any testingand treatment claims submitted in the Portal after March 22, 2022, will not beadjudicated for payment.
Any vaccineadministration claims submitted in the Portal after April 5, 2022, will not be adjudicatedfor payment.
Willeligible claims submitted by the deadline be reimbursed?
Claims submitted by the deadline foreach category of service will be adjudicated and paid subject to theireligibility and the availability of funds.
Whatother resources are available to providers and/or uninsured individuals afterthe Uninsured Program winds down?
Alternative resources for uninsuredindividuals who need COVID-19 services or other health care coverage include:
Note: per the Centers for DiseaseControl and Prevention’s Requirements for COVID-19 Vaccination ProgramProviders, providers must continue to administer COVID-19 vaccines at noout-of-pocket cost to recipients.
Isubmitted claims before the submission deadline was announced on March 15,2022. Will those claims be paid?
Claims submitted by the deadline foreach category of service will be adjudicated and paid subject to theireligibility and the availability of funds.
Whatwill happen if I submit a testing or treatment claim after March 22, 2022?
Testing and treatment claimssubmitted after the deadline will NOT be adjudicated. Regardless of whether thesystem shows your claim as having being received, no testing or treatment claimsubmitted after March 22, 2022, will be processed.
Date Last Reviewed: March 2022
Link to Article: https://www.hrsa.gov/coviduninsuredclaim/submission-deadline
Initially, physician’s offices had a person in-house that handled everything having to do with billing for the practice. This person added to the overhead of the office – about 10 – 12% and handled everything from A-Z in the billing process. General knowledge of codes was all that was needed to ensure reimbursement from insurance companies as this was before managed care.
The beginning of managed care brought to the industry fee schedules, preferred provider contracts, the need for pre-authorizations and more. These changes meant a more intensive knowledge of medical codes was required as well as continuing to keep updated as codes were added and deleted. These changes increased cost and time required to handle billing.
Initially, physician’s offices had a person in-house that handled everything having to do with billing for the practice. This person added to the overhead of the office – about 10 – 12% and handled everything from A-Z in the billing process. General knowledge of codes was all that was needed to ensure reimbursement from insurance companies as this was before managed care.
The beginning of managed care brought to the industry fee schedules, preferred provider contracts, the need for pre-authorizations and more. These changes meant a more intensive knowledge of medical codes was required as well as continuing to keep updated as codes were added and deleted. These changes increased cost and time required to handle billing.
Our Complimentary Consultation is a discovery and feedback initiative built to help practices. You get one on one advice from our experts, plus a report for your practice to use, absolutely free for you.
After listening to what clients were asking for, a more robust system was created that covered more than just standard medical billing. This full-cycle revenue management system saved doctors time and money by eliminating the need to have different people handling all other aspects. Revenue Cycle Management includes: