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Patient access employees at one facility were able to increase collections by 30% by having emergency department nurses walk patients to the discharge office so copays could be collected. Collections decreased when a supportive nurse manager left the organization. Collections increased again when nursing staff was educated on the importance of copays. It took time to establish a consistent increase in collections.
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Recently, a payer denied an $18,000 claim as non-covered services at Ochsner Health System in New Orleans, but this denial was challenged by patient access leaders.
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Patient access employees are fielding more questions from patients about their insurance coverage.
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University of Pittsburgh Medical Center increased collections by 53% after an action plan was implemented, focusing on the emergency department and imaging services.
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Uncle Sam wants your doctors to go digital. And the federal government is backing up that goal by offering money to practices if they start using digital records systems.
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Physicians are continuing to adopt electronic health records (EHRs) at a steady pace.
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Patient access employees are under-compensated at many organizations, and salaries don't reflect the expanded role of patient access, according to revenue cycle experts.
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Patient access departments need technology to determine patient liability, propensity to pay, and eligibility to enroll in health plans available on the exchanges.
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Patient access leaders at Florida Hospital cut denials to only .08%, and wrote off $1.9 million in 2012 compared with $4.5 million in 2002.
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"Churn when otherwise-eligible Medicaid beneficiaries are disenrolled and re-enrolled in the program is a frequent problem and will continue to be so under the Affordable Care Act (ACA), according to Benjamin D. Sommers, MD, PhD, assistant professor of health policy and economics at Harvard School of Public Health in Boston.