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WakeMed Health & Hospitals in Raleigh, NC, has a long history of caring for all who seek service regardless of the ability to pay, and is currently facing a marked increase in uninsured patients.
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The mission of eight onsite Medicaid case managers at WakeMed Health & Hospitals in Raleigh, NC, is to "focus only on patients who have been patients at WakeMed," says Heidi McAfee, director of patient access/case management.
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As payer requirements become more numerous and stringent, any type of error can result in a needless claims denial.
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Obtaining accurate, detailed information about a patient's insurance coverage is the goal of any registrar, regardless of the patient's point of entry. Clearly, though, emergency department (ED) patients pose some unique challenges.
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Too many claims denials lead to loss of revenue and unhappy administrators two things no patient access department can afford, especially in this economy.
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Emergency departments across the North Shore-Long Island Jewish Health System in Great Neck, NY, care for hundreds of thousands of patient each year who are treated and released without being admitted to the hospital.
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Is your patient access department considering investing in software to decrease and manage claims denials? If so, compliance and customer service must be considered, says Katherine H. Murphy, vice president of access solutions at Nebo Systems, a division of Passport Health Communications in Franklin, TN.
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At one time or another, every patient access manager has come across a staff person who habitually complains, spreading negativity to other employees.
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In the past, when they needed contact information for patients, registrars typically obtained an address and home telephone number and their job was done. But these days, many patients would rather be reached on their cell phone or via e-mail or text messages.
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Undocumented individuals may have a single Social Security card and pass it around to several people. In other cases, an electronic medical record may describe a patient of a different age or gender than the person standing before you.
