How Improved Patient Access Solutions and the Patient Experience Produce RCM Success

Posted in GeBBS Healthcare Solutions, Inc., Patient Access Management

In most healthcare organizations, such as hospitals and nursing homes, medical billing and collection staff have among the highest rates of turnover. However, these employees are crucial to the continued operation and success of any healthcare business or medical facility. These employees, often called the patient access staff, do not always get the opportunity to …

Continue Reading »

Verify, Verify, Verify – Why Insurance Verification is Money in the Bank

Posted in Patient Access Management

Successful, accurate medical billing and reimbursement begins with ensuring every patients’ insurance information is accurately captured and thoroughly verified – ideally before the start of any encounter.  That’s because failing to do so can result in payment delays or more likely claims denials – which can have a significant and negative impact on reimbursement and …

Continue Reading »

Struggles of Streamlining Scheduling in Healthcare – How to Make it Happen

Posted in Patient Access Management

These days, if you want to schedule a haircut, vehicle repair, DMV appointment, or cable service – chances are, you can do it online with the click of a button. On the other hand, scheduling a hospital procedure or a routine doctor’s appointment might require multiple phone calls, voicemail exchanges, and frustrating phone trees before …

Continue Reading »

Precarious Problems with Prior Authorizations

Posted in Patient Access Management

Patients and providers alike suffer the pain and financial implications of prior authorizations, also referred to as prior approval, pre-authorizations, or pre-certifications. A red tape-laden approval process required by government and commercial payers, prior authorizations are often required for numerous treatment options such as hospital admissions, procedures, surgeries, diagnostic testing, imaging services, therapies, and even …

Continue Reading »

When it Comes to Satisfaction, the Experience is Everything

Posted in Patient Access Management

It’s true that in nearly every industry, the experience is everything.  Failing to meet customer expectations is most certainly the demise, as the Amazon effect and consumerism have pushed people to expect more for less without delays or frustration.  Yet, in healthcare – still many patients face delays and frustration at every step of their …

Continue Reading »

The Importance of Eligibility Verification and Pre-authorization

Posted in Extended Business Office Solutions (EBO), Patient Access Management

In medical billing terminology, eligibility verification, pre-authorization, prior authorization and pre-certification are terms that may be used interchangeably to mean that for certain situations and procedures, providers have to contact insurers in advance and obtain a certification number in order to be reimbursed properly (or at all) for services. Insurance verification and insurance authorization services play a vital role in revenue cycle management. In fact, most claim denials happen when a patient is ineligible for services billed by the provider.

Continue reading The Importance of Eligibility Verification and Pre-authorization

Share and Enjoy !

Shares

Be Prepared for “Surprise” Medical Billing

Posted in Patient Access Management, Revenue Cycle Management (RCM)

A recent article on the Radiology Business Management Association (RBMA) web site discussed consumer’s frustration with the cost of medical care as being at an all-time high as many purchasers of narrow-network, high-deductible and high-co-pay health plans are finding out that the benefits they get from their monthly insurance premiums are much more limited than …

Continue Reading »

High Deductible Self-Pay Accounts Can Be a Major Threat to Revenue Cycle Management

Posted in Patient Access Management, Revenue Cycle Management (RCM)

According to data from the latest quarterly Crowe RCA Benchmarking Analysis: “Patient Financial Responsibility on the Rise,” healthcare providers could be facing a major threat to their revenue cycles. The analysis found that in the past year, insured patient financial responsibility has grown from 23.3 percent to 26.9 percent for outpatients and 10.2 percent to …

Continue Reading »

Optimizing Patient Access Management in the New Healthcare Consumerism Environment

Posted in Patient Access Management

Healthcare consumerism is going to be an important factor in the new healthcare financial environment where a number of patients are going to be responsible for a portion of their healthcare costs. Empowering healthcare consumers to schedule appointments, receive online statements, and make electronic payments are just a few of the options that consumers are …

Continue Reading »

Patient Access Management in your Organization

Posted in Patient Access Management, Revenue Cycle Management (RCM)

Where Should Patient Access Management be Located within the Organization? Patient access management should be incorporated as an element of a hospital’s financial department because in today’s new financial environment, everything this department does ties into multiple areas of the revenue cycle. Best practices hospitals use the approach where any and all information that affects …

Continue Reading »