June, 2018
Insurance Verification
 NCAA compliance rules require athletes have medical insurance. Insurance can be provided either through a school-offered plan or through an outside plan, e.g. a parent's policy. As a result athletic programs spend significant effort verifying that students have insurance and that their school is compliant with the regulations. Don’t get caught out of compliance please call us to learn more about insurance verification.
Billing For Services
In this month's newsletter we looked a two more issues Athletic Trainers have asked about: Co-pays/Deductibles and Billing for Physicals.

Co-pays/Deductibles: Insurance companies use co-pays and deductibles as a mechanism to discourage insurance over-use. Policy premiums are established based on these amounts being borne by the patient. The question has come-up of can a school waive co-pays or deductibles, sometimes called "fee forgiveness". A search of the web shows an increase in insurance companies investigating this practice. The following article provides a good overview of the issues involved. Waving co-pays. Note: While the article is titled out-of-network, it also includes references to in-network billing in the last paragraph. "Finally, whereas the waiver of patient cost-sharing responsibilities by providers often arises in the context of out-of-network services, it is important to note that such waivers can have similar, if not harsher, consequences when done in relation to both in-network services..."

Billing For Physicals: Many sports programs perform pre-season physical screenings for athletes, with some billing for those services. If you intend to bill for physicals, it is important to know that an annual physical and a sports physical are not the same thing; an annual physical must meet certain standards in order to qualify for reimbursement under the ACA. The physical must be conducted under doctor supervision and must include comprehensive medical history, physical exam findings, notes on ongoing or chronic issues and any “age-appropriate” notes and tests.
FAQ: How to change a fillable form for one athlete. Watch the video
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NATA 2018
CSMi's getting ready for the NATA 2018 conference in New Orleans. Stop by and see us at Booth 8019 to say hello and see the latest SportsWareOnLine features. Be one of the first 750 to visit our booth and get a free water bottle.
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