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Industry Events

Open Enrollment Season: How It Affects Your Practice's Revenue

Medicare and marketplace open enrollment reshuffle patient coverage every fall. Here is how to prepare your front desk and billing team.

What changes

Medicare's annual enrollment period runs October 15 to December 7, and many patients switch Medicare Advantage or Part D plans effective January 1.

Check your networks

Confirm you are in network with the plans your patients are moving to, and start credentialing early where you are not.

Communicate with patients

Remind patients to bring new cards in January. We help practices review payer participation before the new year.

Related service

Credentialing

Credentialing errors should never be the reason a practice cannot get paid.

This article is for general information and is not legal advice. Rules change often — confirm current requirements with CMS, your payers, or counsel.

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