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The second annual benchmark study by Ponemon Institute in Traverse City, MI, sponsored by ID Experts, finds that the frequency of data breaches in healthcare organizations surveyed has increased by 32%.
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Within one year, the patient access department at Advocate Illinois Masonic Medical Center, a 408-bed hospital in Chicago, reduced denials due to no benefit coverage and no authorization by 30%.
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Regardless of whether patients are covered by a commercial carrier, an employer group, or a combination of both, new processes are needed for patient access areas, says Gail Draper, director of clinic support services at University of Utah Hospitals & Clinics in Salt Lake City.
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Total point-of-service (POS) collections went from $650,000 in 2009 to $1.5 million by the end of 2011 at Advocate Illinois Masonic Medical Center in Chicago.
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Patient access staff members at University of California Los Angeles Health System are using several newly implemented automated tools to keep up with payer requirements.
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Registrars at UK HealthCare in Lexington, KY, have had great success using a real-time insurance verification tool, reports Courtney M. Higdon, director of enterprise patient access services.
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A preceptor program implemented in 2010 at Palmetto Health Richland in Columbia, SC, "has impacted our employee retention tremendously," reports Ebony Seymour, CHAM, patient access manager. The estimated cost for training a new hire is about $5,000, including the salary of the education and training specialist.
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Will changes in patient coverage due to the Patient Protection and Affordable Care Act (PPACA) mean less revenue for your organization, more opportunities for patient access, or both?
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Three scenarios that no hospital security or privacy officer wants to experience:
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At Palmetto Health Richland in Columbia, SC, the admissions department's career ladder program requires cross-training in four admissions areas, financial counseling, and patient accounts.
