Beware Virtual Credit Card Payments

Beware Virtual Credit Card Payments

In recent years, insurance payers have been turning to “virtual credit cards” to reimburse medical claims. For providers, these payments may not be such a good deal, however, as they often come with fees (imposed by the credit card company) that may reduce the value of the payments by as much as 5 percent.
The AMA has provided three helpful tips to avoid these fees:

  1.  Register for electronic funds transfer (EFT) payments. The Health Insurance Portability and Accountability Act (HIPAA) requires all health plans to offer standardized EFT using the Automated Clearinghouse (ACH) Network. Similar to direct deposit, ACH EFT allows health plan payments to be directly paid into a physician’s designated bank account. Each ACH EFT transaction carries only one fee of about 34 cents, far less than the potential 5 percent fee charged to VCC transactions. In order to receive ACH EFT, physicians should request and register for this payment method.
    For more information, visit the AMA’s EFT Toolkit.
  2.  Be aware of restrictions in payment methods when contracting with health plans. Even though HIPAA requires health plans to make EFT payments available upon request, health plans may try to require other payment methods, such as VCC, within their contracts with physicians. Be cognizant of any restrictions and avoid signing contracts with inflexible payment terms.
  3. Educate your practice staff. If your practice staff processes both patient and health plan payments, make sure they know how to differentiate between patient and health plan credit card payments to avoid authorization of VCC payments from health plans.

John Verhovshek
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John Verhovshek, MA, CPC, is a contributing editor at AAPC. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University.

No Responses to “Beware Virtual Credit Card Payments”

  1. Karey C says:

    Another beware to add that happened to a client of mine. These are super easy to steal. All you need is a square account and anyone can type the CC#. You can also shop online and pay bills. You can use these anywhere you can type In a credit card #.
    Pretty scary!