Hospital Access Management
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Novel Registrar-led Initiative Collected $674,000 in a Month
Novant Health’s patient access department was falling short of its collection goals until a task force got an enthusiastic team member involved in the initiative. This resulted in record collections of $674,000 in one month.
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‘Another Hospital Costs Less,’ or Does It? Educate Price-shopping Patients
Patient access can follow several steps to make it more likely that patients who price shop to get estimates for costs of procedures will choose their hospital.
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Fast Food or Retail Background, and a Great Attitude? Employee May Be Perfect for Patient Access
Patient access leaders are recruiting new hires from nontraditional backgrounds such as retail and food service, searching for strong customer service skills. Important attributes include having a friendly demeanor, apologizing for long waits without being told, and remaining cheerful in difficult situations.
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Collect in ED Setting Without Violating EMTALA or Angering Patients
CoxHealth increased ED point-of-service collections by 20% by asking for copays consistently. This article discusses steps that patient access departments can take to succeed and improve collections.
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‘Uncollectible’ Claims Just Need Fresh Approach
Stat diagnostic tests are triggering claims denials because payers dispute the urgency. This article discusses steps patient access can take to increase the chance of a successful appeal.
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Support Medical Necessity or Face Denials for Stat Diagnostic Tests
Claims are sometimes deemed uncollectible after the first attempt to appeal a denial is unsuccessful. This article discusses approaches to help ensure payment.
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Payer Says Service Is Non-covered? Patient Access Put in Difficult Position
Patient access faces difficult conversations with patients if services are non-covered. This article discusses steps to help stop lost revenue.
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Did Patient’s Insurance Change? Auths, In-network Status May Change Too
Patients often fail to tell patient access if their coverage changes, and eligibility verification software responses do not always catch it. This article discusses steps that can help prevent claims denials.
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Provide Indisputable Proof: Patient Meets Criteria for Level of Care
Increasingly, payers are disputing the patient’s level of care, resulting in denied claims. This article discusses ways to help prevent lost revenue.
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Make ‘Peer-to-Peer’ Happen Within 24 Hours, Or Face Denied Claim
Payers are requiring time frames as short as 24 hours for peer-to-peers between the patient’s and payer’s physicians, or they’ll deny the claim. This article discusses several strategies that can make this conversation happen quickly enough to avoid denials.