Hospital Access Management
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Four hours a day is too much time on the phone with payers — Hold times last up to 45 minutes
Financial counselors at Stonybrook University Medical Center spend about four hours a day on the phone with insurance companies verifying inpatient benefits and obtaining authorizations.
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Emails are too slow — Here are new ways to communicate with patient access staff
Is an irate patient demanding to speak with a supervisor? Does a registrar need to leave immediately because of a family emergency?
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Novel ways you can network
Put your best foot forward with these tips
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Foolproof ways to move up quickly in access
Suggestions from experts
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Different CPT done than was authorized? Payers refuse to pay the claim
Some claims denials stem from incorrect CPT codes given by providers.
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More payers asking for peer-to-peers
Patient access needs excellent processes to respond to payer requirements for peer-to-peer review of the patient’s medical records, says Ketan Patel, a senior manager in the healthcare provider segment of strategy and operations for New York City-based Deloitte Consulting
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Payers Want Detailed Clinical Info for Authorizations
You need to know why a procedure is necessary ... right?
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AHRQ tool shows effect of Medicaid expansion
A new online tool from the Agency for Healthcare Research and Quality shows state-level trends in hospital stays for adults with Medicare, Medicaid, private insurance, and the uninsured.
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Give patients a friendly face in registration areas
After patients checked in at the outpatient registration area at Thomas Jefferson University Hospital in Philadelphia, PA, they were given a simple instruction: “Have a seat across the hall.”
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Avoid ‘go-live’ disasters during system upgrades
When upgrading or integrating systems, patient access departments can avoid problems by documenting the department’s current workflow and performing multiple tests.