Registrars are canceling procedures on short notice much more often these days, not because anyone needs to reschedule but because insurance companies are contacting patients to tell them the hospital setting will cost more.
Patients often fail to tell patient access if their coverage changes, and eligibility verification software responses do not always catch it. This article discusses steps that can help prevent claims denials.
Significant revenue could be lost if patient care isn’t closely managed
May 10, 2016
A growing number of patients are presenting to registration areas with capitated insurance plans. These plans allow payment of a flat fee for each covered individual, regardless of how much care the individual receives.
In 2008, a woman went to a hospital seeking treatment for weight and size reduction. A physician recommended a form of mesotherapy, which is a non-surgical technique to dissolve fat tissues through injections.
Under ACA, is ambulatory surgery coverage required?
March 4, 2016
Distressed. Alarming. Shortsighted. Troubling. These words are being used to describe a new trend of employers offering healthcare coverage that excludes outpatient surgery in all settings: hospitals, surgery centers, and surgeons’ offices.
Many overwhelmed, confused patients turn to patient access employees to help them make decisions about healthcare coverage and even to obtain coverage. A recent Health Affairs policy brief discusses some difficult questions that often come up.
Patient access staff at The MetroHealth System, Cleveland, use the CARE approach to address patient concerns. The goal is to make an emotional connection with patients, says Donna Graham, senior director of revenue cycle.