Waveland’s COVID-19 Uninsured Patient Attestation Verification allows laboratory directors to sleep soundly, knowing they comply with HRSA regulations.
Providers must attest that they have checked for health care coverage eligibility and confirm that the patient is uninsured (i.e., verify that the patient does not have individual, employer-sponsored, Medicare or Medicaid coverage, and no other payer will reimburse you for COVID-19 testing and/or treatment for that patient). They will agree to program terms and conditions, including being subject to post-reimbursement audit review.
They will agree not to balance bill the patient.
Claims submitted to UnitedHealth Group and reimbursed by Medicare/CMS are subject to the Federal False Claims Act •(You need to be 100% sure the patient does not have coverage!)
Waveland provides laboratories with the Uninsured Patient Verification required to help protect against government audits, returned reimbursement, and potential False Claims Act violations.
Waveland scans all uninsured patients to determine if there is any insurance that can be billed for the Covid-19 related services prior to claim submission to UnitedHealth Group - Medicare.
Waveland creates an audit trail for each uninsured verification that can be utilized in a government audit or revenue clawback.
Uninsured patient records are flagged in the Waveland system and can be electronically exported to third party systems for billing and reporting.
Patients insured status can be verified in real-time or batch processing with minimal patient data requirements.
For patients that have verified coverage and cannot be billed to the government as Uninsured through the CARES Act, Waveland provides a valid payer and all of the information required to secure reimbursement.