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The secret to any process improvement in the ED is the relationship that your registration staff have with the clinical staff and management, according to Tina Nadrasik, patient access manager in the ED at Bronson Methodist Hospital in Kalamazoo, MI.
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Offering large salary increases or promotions is probably not an option to improve retention, even for your most irreplaceable staff members. However, it's possible that staff might jump at the chance for a lateral move within the patient access department, according to Sherrie Woodmancy, service director for patient billing and financial services at University of Utah Health Care in Salt Lake City.
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Two major areas of concern for the switch to ICD-10 are medical necessity and preauthorizations, according to Susan Hoyle, CCS, coding manager at Mission Hospitals in Asheville, NC.
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If some particularly dismal copay collection data came to your attention, chances are you'd want to scrutinize it carefully before presenting this to senior leaders.
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Joan S. Braveman, director of patient access and financial services at Tallahassee (FL) Memorial HealthCare, says that her department has put a "very liberal, but very fair, uninsured payment policy in place."
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Patients might have bought an insurance policy with lower premiums and higher deductibles, but lack understanding of what those mean. This part of the job is one of the hardest for patient access staff, according to Joan S. Braveman, director of patient access and financial services at Tallahassee (FL) Memorial HealthCare.
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When Joan S. Braveman, director of patient access and financial services at Tallahassee (FL) Memorial HealthCare (TMH), started point-of-service collections in her department about five years ago, she encountered a lot of resistance.
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The ED verification staff, registration staff, case managers, emergency nurses, and a group of patients joined together and brainstormed ideas at Bronson Methodist Hospital in Kalamazoo, MI, with the goals of reducing denials, obtaining a better understanding of each other's roles, and obtaining accurate demographics, says Tina Nadrasik, patient access manager over the ED. Here are three areas that were identified:
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Sick, upset, and distracted patients often gave inaccurate or incomplete information to registration staff in the ED at Bronson Methodist Hospital in Kalamazoo, MI, notes Tina Nadrasik, the department's Patient Access manager. This problem sometimes resulted in claims denials, she adds.
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It's taken a collaborative effort between patient access and provider offices to navigate the challenges of prior authorization and payer requirements, while continuing to give patients an excellent experience, says Adrienne Pinelle, CHAA, manager of the preauthorization team for patient access services at University of Utah Health Care in Salt Lake City.
