The findings of a recent paper contradicted the general perception that seriously ill patients are well-protected through a combination of Medicare and Medigap, Medicare Advantage, or Medicare and Medicaid.
Novant Health’s patient access department was falling short of its collection goals until a task force got an enthusiastic team member involved in the initiative. This resulted in record collections of $674,000 in one month.
Improper financial relationships led to lawsuits and indictments
October 27, 2016
The nonprofit hospital system Broward Health in Florida recently agreed to pay $70 million to settle allegations that it engaged in “improper financial relationships” under laws prohibiting kickbacks for patient referrals.
When case managers concentrate only on getting the patient status right up front and then review only selected patients and review them every few days, it’s likely to have a big effect on the financial health of the hospital, says Brian Pisarsky, RN, MHA, ACM, associate director of Emeryville, CA-based Berkeley Research Group.
The Oregon Association of Hospitals and Health Systems in Lake Oswego announced that every Oregon hospital can provide a cost estimate for hospital services for a scheduled procedure within three business days.
When patient access employees started point-of-service collections at OSF Saint Anthony Medical Center in Rockford, IL, complaints were “few and far between,” says Nicole Fountain, CRCE-I, CHAM, revenue cycle director.
Conversations ‘can make a critical difference to someone’s life’
January 26, 2016
Patient access leaders at Chicago-based Presence Health have received “fewer and fewer” complaints from patients regarding the balance that they owe, reports La’Queela Angel, director of patient payments.