Hospital Access Management – December 1, 2020
December 1, 2020
View Issues
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When Insurers Will Not Pay for Service Performed at a Hospital
It is not enough anymore to demonstrate that a surgery or imaging test is medically necessary. To receive reimbursement from health plans, patient access staff also must prove it is necessary for the procedure to happen at a hospital.
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Use Personalized Calls, Transport Services to End No-Shows
Everyone forgets an appointment now and then. With some patience and persistence, registrars can prevent chronic no-shows.
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Basic Coding Knowledge Allows Patient Access to Stop Denials
Inaccurate coding causes compliance issues, more denials, lost revenue, and negative patient experiences. More precise and accurate information from the onset sets the stage for correct billing, cleaner claims, and fewer denials.
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Most Insured Adults Know Little About Their Coverage
Patient access staff can safely assume that almost everyone needs an explanation of their coverage. That starts with even basic terms like co-insurance, provider network, and deductible.
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New Best Practices for Resolving Patients’ Medical Bills
The last thing patients need in today's climate is to deal with spiteful lawsuits and haranguing collection agencies. Recently released guidance can help patient access be helpful partners for those who need to settle medical bills.
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Patient Access Makes Progress Toward Fully Automated Auths
It takes creativity and time to fully automate, but the dividends make this a worthy effort.
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Keep Onsite and Remote Patient Access Staff Connected
Although nothing can replace face-to-face interactions, leaders are trying to maintain strong employee connections through virtual interactions, both professional and social.
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Right of Access Initiative Yields Major Settlements with OCR
Much confusion remains about when healthcare entities can and cannot release information under HIPAA. There are some lessons to be learned from recent enforcement actions.
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Ongoing Noncompliance Leads to Serious Settlement for Small Clinic
Regardless of the size of a healthcare operation, the government will administer punishment for regulatory violations, especially if those errors stem from the facility's careless oversight.