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Diane Ward, assistant director of Enterprise Patient Access Services at UK Healthcare in Lexington, recently set target goals for her departments.
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President Obama has signed the Protecting Access to Medicare Act of 2014 (H.R. 4302) into law. This law marks the 17th time Congress delayed the cuts to physician reimbursements established with the Sustainable Growth Rate (SGR) under Medicare. The bill delays a 24% cut to the payments.
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Propensity to pay software can help determine a patients ability to pay, but few patient access areas use this technology.
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While rounding in an outpatient registration area at Elmhurst (IL) Memorial Healthcare, registration supervisor Gloria Vargas-Gonzalez saw that only one registrar was working, despite many patients waiting to be registered.
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Posting collection scores on a board in patient access areas increased upfront collections at Maury Regional Medical Center in Columbia, TN, by 30%.
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Standardized registration processes decrease claims denials and increase success with cross-training, according to patient access leaders. Eligibility denials decreased by 14% each quarter in the last fiscal year at UK Healthcare.
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By spending about an hour rounding in registration areas, patient access leaders can resolve many staff concerns and boost morale. By rounding, managers can do the following:
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Staff members at provider offices often think, wrongly, that the hospital is responsible for obtaining or denying authorizations.
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As documented in the CDCs National Hospital Ambulatory Medical Care Survey (NHAMCS), the population of patients being seen in American EDs continues to get older, except in EDs with a mission to serve children.
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Molina Healthcare offers Native Americans covered by its Medicaid managed care plan a Traditional Medicine Benefit, which gives them a stipend to spend on traditional healing.