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Medical Ethics

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  • ACOs emphasize prevention, coordination

    As talk of reimbursement reform and pay for performance escalates and health care stakeholders look at ways to improve patient access and outcomes while reducing waste and costs, payers and providers are joining together to create accountable care organizations (ACOs), partnerships that agree to be accountable for the quality, costs, and overall care of a patient population.
  • Revamp collection process for admitted ED patients

    It's hard to imagine a tougher point-of-service collection challenge than collecting from emergency department patients. Patients may expect to pay a small copay, and when they change to inpatient status, may suddenly owe thousands of dollars toward their deductible.
  • Give best registrars chances to advance

    Every patient access department has registrars who can be counted on to rise to every occasion, but better pay may lure these valuable employees to other hospital departments or industries. Instead, why not give these employees "an offer they can't refuse" that is, a clear path to career advancement.
  • Patients demanding out-of-pocket info

    Patient estimation software implemented in late 2009 at Tallahassee (FL) Memorial Hospital has "helped tremendously" with collections, says Joan S. Braveman, director of patient access and financial services. "In this past fiscal year, we increased our front-end cash collection by 40%," she says.
  • HRA: Patient data protection not a top priority

    Data breaches cost health care organizations more than $6 billion annually, and 71% of the respondents to a study released by the Ponemon Institute say they do not have enough resources to prevent or to quickly detect a loss of patient data.
  • HRA: Pay attention to content of phone messages

    Calling to remind patients of their appointments, instructions on how to prepare the night before a procedure, or to see if patients have questions prior to surgery are important ways to keep your outpatient surgery or diagnostic testing departments' schedules on track.
  • Access has dramatically expanded role, but salaries aren't keeping up

    If you find yourself struggling to hold on to your best employees, compensation is probably an issue.
  • Some surprising new roles in store for access staff

    The patient access world is seeing nothing less than a sea change in its roles and responsibilities, according to Pam Carlisle, CHAM, corporate director of patient access services at OhioHealth in Dublin.
  • Avoid costly mistakes with Medicare registrations

    Years ago, when patients came in with Medicare coverage, registration staff were "ecstatic," recalls Robin Teneyck, director of patient access for Sound Shore Health System in New Rochelle, NY.
  • Take proactive approach to prevent claims denials

    When a claim denial occurs, the underlying cause is not necessarily the payer's requirements, says Silva Gramlich, director of registration services in the finance department at Nationwide Children's Hospital in Columbus, OH.