One of the provisions within the Patient Protection and Affordable Care Act (otherwise known as ACA) known as the “90-day grace period” could put healthcare professionals at risk for providing services without payment. When an enrollee receives an advance premium tax credit and does not pay the full amount of his/her healthcare premium a 90-day “grace period” is triggered. Anesthesia practices should communicate with surgeon offices and hospitals to ensure that there is a process in place for grace period monitoring. When confirming coverage, be sure to inquire whether the patient has entered the grace period.
Click here for a memo on the grace period, as well as a full list of ASA Payment and Practice Management department memos.