Hospital Access Management
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Multiple Bills Cause Confusion, Many Complaints
Patients may receive multiple bills after their hospital stay, some of which they might consider settled business. How can revenue cycle leaders reduce wasteful duplication and resolve confusion?
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Expensive Deductibles Bringing Many Changes to Revenue Cycle
Patients with high deductibles often need an expert’s help. Registrars can pave the way for the eventual discussion with a financial counselor.
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Many People Put Off Medical Care Because They Cannot Pay High Deductibles
Patients often find out about a high deductible not from their insurer or employer, but from a registrar — and many of these high-dollar accounts go unpaid. Now, multiple recent studies show that people are avoiding care because they cannot pay their high deductibles.
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Online, Classroom, Team Huddles: For Training, All That (and More) Is Needed
The amount of needed education for patient access is only increasing. How can leaders help staff keep up?
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Some Patients Present With ‘Hidden’ Insurance Coverage; Patient Access Can Uncover It
Certain patients who say they do not have any insurance actually are covered in some way. It is the job of patient access staff to find it — and avoid uncompensated care for the hospital.
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Payers, Hospitals Disagree About Whether Patient Meets Inpatient Criteria
Payers are refusing to pay claims for gastric bypass, joint replacement, and even cataract extraction. Why? Because documentation in the record does not support the need for surgery.
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Missing Clinical Documentation Reason for Many Claims Denials
More health plans are asking for certain pieces of clinical documentation before paying claims. If it is not there, the claim is denied. What are the specific issues arising?
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More Patients Newly Eligible for Medicaid; Many Unaware
Medicaid has expanded in many states so previously uninsured patients can access coverage. However, many may not be aware they qualify. Learn how one health system helps eligible patients enroll.
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Patient Access Leaders Tell Important Stories at Conferences
Hospital leaders may view patient access leaders as operating mostly “behind the scenes.” Presenting at conferences is a great way to change that outdated perception.
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Growing Role for Patient Access: Payer Contract Negotiations
Including patient access in the process is part of acknowledging the ever-expanding importance of front end participation in the revenue cycle.