Hospital Access Management
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Most Insured Adults Know Little About Their Coverage
Patient access staff can safely assume that almost everyone needs an explanation of their coverage. That starts with even basic terms like co-insurance, provider network, and deductible.
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Basic Coding Knowledge Allows Patient Access to Stop Denials
Inaccurate coding causes compliance issues, more denials, lost revenue, and negative patient experiences. More precise and accurate information from the onset sets the stage for correct billing, cleaner claims, and fewer denials.
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Use Personalized Calls, Transport Services to End No-Shows
Everyone forgets an appointment now and then. With some patience and persistence, registrars can prevent chronic no-shows.
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When Insurers Will Not Pay for Service Performed at a Hospital
It is not enough anymore to demonstrate that a surgery or imaging test is medically necessary. To receive reimbursement from health plans, patient access staff also must prove it is necessary for the procedure to happen at a hospital.
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Identify a Registrar’s ‘Pain Points,’ and Fix Them Fast
To do something about what annoys staff, supervisors need to know about it.
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Registrars Counter Rising Tension with Calmness, Kindness
Constant changes during the pandemic have escalated the amount of tension in registration areas. Registrars explain how to defuse some difficult situations.
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Coworkers Share Tips for Staying Calm if Caller Yells
Keeping cool when someone is shouting is not easy, but it is certainly part of the patient access role. Registrars share tips for how to handle these difficult scenarios.
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Departments Are Revamping Registration Identification Processes
To prevent errors, registrars can use two identifying factors (name and date of birth) and ask the patient to verify the spelling of both their first and last names. Engaging patients by asking for their information instead of just reading it to them is especially important.
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Registration Mistakes Can Harm Patients Clinically
Registration errors mean lost reimbursement for hospitals, but more than money is at stake. If a duplicate medical record is created, “it compromises safety, could delay care, or could result in inappropriate care.
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Patients with Chronic Conditions Put Off Needed Care
More “near older” patients (age 50 to 64 years) with chronic health conditions are putting off needed care they cannot afford. Researchers found lack of coverage is a particular problem for this group, which lives with more chronic health conditions than younger groups, but is not old enough for Medicare. Their income, especially for those who still work part or full time, is too high to qualify for Medicaid.