Access Management
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Consumers May Be Unaware Price Information Is Available
Patients say they want price transparency, but many are completely unaware of what information is out there, and have no idea how to find it, at least in one state.
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Instant Gratification with Self-Service Price Estimators? Not So Fast, Says Patient Access
Beware the pitfalls of do-it-yourself healthcare pricing research.
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Price Transparency Now a Reality; Not All Hospitals Fully on Board
Some hospitals were holding off, hoping courts would overturn the requirements. Other facilities still are contending with operational challenges caused by COVID-19. Nevertheless, expectations have changed — and the consequences of noncompliance are real.
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AMA Prepares for COVID-19 Vaccine with Coding Updates
Laying the administrative groundwork is an important part of ensuring success for administration of an eventual vaccine.
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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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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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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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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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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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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.