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News: On Nov. 26, 2006, a 49-year-old man from Howard Beach, NY, underwent a heart transplant at a New York City hospital. Less than a week later, on Dec. 2, 2006, the patients new heart suffered a massive hemorrhage.
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Healthcare reform makes processes for insurance verification a top priority for patient access areas, says Sebrena Johnson, manager of insurance verification and precertification in the Admission Services Department at Cone Health System in Greensboro, NC.
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Your patient access department already might have a discount policy in place, but this policy doesnt do anything to help a patient unless he or she is aware of it.
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Patient access departments need to prepare for a great increase in the volume of patients who are eligible not only for Medicaid, but also private insurance policies, as a result of the Patient Protection and Affordable Care Act (PPACA) according to Luis Guerrero, director of patient access services at Ochsner Baptist Medical Center in New Orleans.
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Self-pay accounts receivable (A/R) was reduced by about $15 million annually after the patient access department at Geisinger Health System in Danville, PA, implemented daily eligibility checking of self-pay accounts against Medicare and Medicaid to find instances in which patients had coverage for that particular date of service.
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Patient access staff at Methodist Charlton Medical Center in Dallas now run all self-pay patients through an automated verification system to identify those that are unaware that they are still active with the Medicaid program.
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There is a growing emphasis on sensitivity in hospital collections that patient access staff should be aware of, advises Richard L. Gundling, FHFMA, CMA, vice president of healthcare financial practices for the Healthcare Financial Management Association (HFMA).
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Jamie Kennedy, a patient access supervisor at Ohio State University East Hospitals ambulatory clinic, says that her clinic is hiring additional staff, and customer service is her number one priority.
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Patients are asking patient access staff for various self-service options for registration processes, including price estimates, reports Angela Long, associate vice president of administrative services in revenue management at Geisinger Health System in Danville, PA.
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Medicare patients often are shocked to learn that they have a significant out-of-pocket responsibility due to being in observation status instead of inpatient, reports Diane C. Settle, CPA, CHFP, executive director of the revenue cycle at Sarasota (FL) Memorial Health Care System.
