Hospital Access Management
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Get registrars and clinicians on same page with collections
When patient access employees started point-of-service collections at OSF Saint Anthony Medical Center in Rockford, IL, complaints were “few and far between,” says Nicole Fountain, CRCE-I, CHAM, revenue cycle director.
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Fear dissatisfaction due to collections? Be an advocate for the patient
Patient access leaders at Chicago-based Presence Health have received “fewer and fewer” complaints from patients regarding the balance that they owe, reports La’Queela Angel, director of patient payments.
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Providers have ‘one-stop shopping’ for transfers
San Francisco-based UCSF Medical Center recently implemented an Integrated Transfer Center. Patient access and clinical units work together to clinically and financially clear transfer patients.
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Get money upfront, and reduce bad debt
Collections weren’t much of a priority when copays were just $5 or $10, according to Gregory Kanetis, MPA, director of patient financial services at Lawrence (MA) General Hospital.
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Want to boost collections? Training is the key, say patient access leaders
Emergency department registrars can improve patient flow by getting the correct information at the right time in the emergency department visit. -
‘Sense of urgency’ needed for ED registrations
In addition to great customer service skills and a thorough knowledge of insurance, emergency department registrars need “a sense of urgency,” says Candace Koutsoulieris, emergency department patient access manager at Florida Hospital Orlando.
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50% of denials are overturned
Reasons for denials include that the service is experimental, that the service did not meet medical necessity, or that the service required a prior authorization.
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How to Cut Registration Errors
Here's how access managers created a success story at Stanford Children’s Health.
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Payers want two weeks to review auth requests
As if there aren’t already enough roadblocks to obtaining authorizations, payers are now requiring unrealistic timeframes to review these requests.
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Some Healthcare.gov enrollees could lower silver plan premiums
A new analysis from the Kaiser Family Foundation finds that in 73% of counties served by Healthcare.gov, people enrolled in the lowest-cost silver plan in 2015 could save money on premiums by switching to a different silver plan.