Hospital Access Management
RSSArticles
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Patient Care Goes Forward as Planned: ‘You’re Good to Go’
Patients tend to become anxious when scheduled care is cancelled due to authorization holdups. This happened so often in one system that a decision was made to change the process. If the payer takes too long to give an answer one way or the other, things go forward as planned anyway.
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Automation, Artificial Intelligence Future of Patient Access Authorizations
A revenue cycle operator explains how his department is breaking free from old-fashioned practices and moving toward automation.
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Evidence Shows Prior Auth Requirements Hurt Patient Care
Complying with health insurance companies’ prior authorization requirements is demanding ever-increasing resources from patient access. The authors of multiple recent studies found these requirements also stop patients from receiving needed — and sometimes life-saving — medical care.
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Wrong Person Receives Bill, OCR Secures $2.175 Million Fine
As new privacy laws and regulations are put forth on both the state and federal levels, every covered entity should work with competent counsel to develop policies and procedures for breach preparedness, avoidance, and response that is compliant with applicable laws and regulations.
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HIPAA Settlements Hold Lessons on Right of Access, Breach Reporting
It is worthwhile for risk managers and compliance officers to revisit the requirements on which recent fines were based, specifically regarding time frames and file formats.
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Expect More High-Tech Breaches, Attorney General Audits This Year
Most HIPAA breaches in the past were of a low-tech nature. But that is changing now, partly because the digital revolution has completely changed how healthcare organizations handle data.
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Peer-to-Peers Not Always Successful; Patient Access Can Increase the Odds
Patient access does its part by obtaining authorizations for scheduled cases. Thorough documentation in the medical record gives the payer no reason to ask for the peer-to-peer in the first place.
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A Little Coding Knowledge Goes a Long Way Toward Preventing Denials
Patient access staff need far more limited knowledge of coding to perform their jobs. However, it is vital that they learn some basic skills.
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Is Registrar Friendly? This Can Be More Important Than Other Tangible Metrics
Niceness cannot be measured in the same way as the number of calls taken per hour or the percentage of copays collected, but it still needs recognition.
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Study Groups and Quizlets: Earning CHAA Is a Team Sport
Patient access leaders may place great importance on earning certifications. Still, registrars want to know what is in it for them.