The importance of eligibility verification post-One Big Beautiful Bill Act

Physicians Practice: And one of you guys' big topic lately has been about administrative workload and payment reconciliation and the like, is there anything in this big ol' bill that might actually give some relief?

Anders Gilberg: I don't know if I'd say it would give a whole lot of relief in the bill. However, I think when you do have a situation with the potential for such a large number of beneficiaries and patients to lose their insurance, I think one of the things MGMA will be doing is to make sure that our members are very much using the best practices for eligibility verification of insurance before the patient comes in, and just to make sure that their revenue cycle management processes are efficient and in good good standing, because there could potentially be issues with the Medicaid population going forward.

And then also, there is an expiration of the Affordable Care Act subsidies at the end of this year, which poses a more immediate potential issue, if not renewed by Congress by the end of the year.

So again, good practice management and things like eligibility verification, so you don't have patients coming in who don't know they're uninsured, but then all of a sudden they're uninsured, and then you have to make tough decisions about whether or not you see that patient, whether they have to be cash paying, and then a lot of that money will just go on and collect it as a result.