Insurance programs and benefits are constantly shifting eligibility requirements, application processes, web site navigation, and more. In Q1 of 2020, we saw 2,366 changes to programs, a record high compared to the last several years of data. This means that for a frontline team member screening patients for coverage, it is next to impossible to keep up with the latest requirements. Misinformation is harmful to the patient and the healthcare facility, leading to denials and preventing reimbursement for services rendered.
In the time of COVID-19 this is more true than ever, with changes being made to presumptive eligibility and other program features aimed at addressing the growing healthcare and unemployment crisis. Here are some of the most important changes we tracked in the second quarter of 2020: