As you may have figured out by now, complete and accurate VOBs are one of my pet peeves! We at CRT regularly update our forms to stay on top of the latest developments and the changing needs of our clients.
DO review and evaluate your VOB form often and make note of any changes that may need to be made to accommodate changing trends or added services.
A few things to consider:
- Does your practice specialize in any form of treatment that may be considered experimental or out of the norm for your specialty? i.e. biofeedback training for incontinence, IDD therapy, TMJ treatment, etc? Be sure to ask each plan if these are covered services.
- Does your practice treat MVA patients? Consider adding this question to your VOB form: “Is your coverage expressly secondary to either Medpay or PIP coverage?” This could be a significant factor in an MVA case if the patient chooses not to use their PIP/Medpay coverage but only wants to bill his commercial health insurance plan.
- “Is this a self-funded plan?” This can be an important question when dealing with possible reimbursement issues down the road. It will save you time if you need to file an appeal or a complaint so that you can reference the correct state or federal laws and file complaints to the proper agencies.
- Is it a secondary policy? Is it a Medicare supplement or a true secondary? Please read my previous blog on this topic for more details.