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Here is a payment planÿ
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If registrars are more accurate when completing registrations, fewer claims denials will result. This clearly improves your hospital's fiscal situation, but remains a daunting challenge for many patient access departments. Here are some steps taken by the patient access department at St. Joseph's Hospital Health Center in Syracuse, NY:
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Carmen Arroyo, clinic operations manager of cardiology, nephrology, and pulmonary medicine at Children's National Medical Center in Washington, DC, set a goal to increase her area's time-of-service collections by 9% over the previous fiscal year. She wound up tripling the amount collected. Here is how she did it:
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Point-of-service collections are becoming increasingly important for patient access areas for many reasons, but this revenue doesn't come easily.
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Registration accuracy is always a foremost concern for patient access leaders, as problems in this area can lead to needless claims denials; ineffective quality assurance audits, however, won't get results, says Diane E. Mastalski, CHAA, CHAM, Virtua's corporate director of patient access.
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More than ever, patient access staff are being challenged to step into a new role that of financial counselor. Patients have more complex questions and needs, and are turning to front-line staff for answers.
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The below proposal was submitted by John E. Kivimaki, director of patient accounts at Mary Rutan Hospital in Bellefontaine, OH, to identify areas in the revenue cycle where losses could be reduced by focusing on upfront efforts. It was accepted by the hospital's administration, and implementation is underway.
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If hospitals don't get it by now, then they're not reading the writing on the wall. Quality will increasingly affect hospitals' financial welfare.
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The perspective of Laura Avakian's book "Helping physicians become great managers and leaders: Strategies that work" is from a human resources professional. And that is because Avakian worked as vice president of human resources in health care for about 25 years at Beth Israel Deaconess and MIT.