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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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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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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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Propensity to pay software can help determine a patients ability to pay, but few patient access areas use this technology.
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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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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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The Centers for Medicare & Medicaid Services (CMS) found in its improper payment reviews for 2008 through 2011 that evaluation and management (E/M) services were frequently miscoded.
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Patient access areas, especially those responsible for obtaining prior authorizations and contesting denials, must have proper access to clinical information, urges David Hoogenboom, CHAA, team lead/patient access liaison III in the Outpatient Access Department at Danbury (CT) Hospital.
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At Louisville, KY-based Baptist Healths seven hospitals, the focus on standardizing patient access and scheduling functions started two years ago, at the same time a new registration system was being implemented.
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Patient access areas risk being short-staffed if leaders dont monitor patient volumes closely.
