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Claims denials will result if patient access staff incorrectly identify the correct payer when patients present with coverage obtained on the Health Insurance Exchange Marketplace.
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Dramatic changes in healthcare are a call to action for patient access, warns Katherine H. Murphy, CHAM, vice president of revenue cycle consulting in the Oakbrook Terrace, IL, office of Passport, part of Experian, a provider of technology for hospitals and healthcare providers.
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Patient access departments need revamped processes to be sure patients are informed of available financial assistance, to comply with a proposed rule from the Internal Revenue Service.
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Wheaton Franciscan Healthcare in Glendale, WI, is participating in only two of the plans available on the Health Insurance Exchange Marketplace.
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As the Centers for Medicare & Medicaid Services (CMS) continues its emphasis on discharge planning, its more important than ever to create a comprehensive discharge plan that provides everything patients need to manage in the next level of care, some experts say.
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Patient access departments are moving the financial counseling process to the point of scheduling and helping providers to address patients concerns about the cost of care.
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Hospitals bad debt is expected to increase due to such factors as higher out-of-pocket costs and failure of patients to pay plan premiums. Patient access can minimize bad debt by doing the following:
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Previously, all financial counseling at Virginia Mason Medical Center in Seattle was done on the hospitals main campus. It wasnt offered at the organizations seven outpatient medical clinics.
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Are uninsured patients billed at a higher rate than insured patients?