Articles Tagged With: payment
-
The Basic Elements of Healthcare Reimbursement, Part 2
This month will continue the discussion of healthcare reimbursement by third-party payers. We began last month with a review of the diagnosis-related groups (DRGs) and associated terminology. We will continue by reviewing how medical records are coded followed by the new MS-DRGs implemented in 2007.
-
Hospitals Need Patient Access to Financially Clear More Accounts — and Earlier
Financially clearing accounts earlier has never been more important, as hospitals’ budgetary issues continue.
-
Patient Access Financial Assistance Policies Face Intense Scrutiny: Two Lawsuits Already Underway
Two recent lawsuits in Washington allege that hospitals withheld charity care from thousands of patients. This article will review steps patient access departments can take to comply with state and federal regulations.
-
1.55% Pay Boost Proposed for Hospital Outpatients
CMS proposed to update hospital outpatient prospective payment system rates by 1.55% in the calendar year 2017 compared to CY 2016, according to the American Hospital Association .
-
What Patient Access Must Know about Capitated Insurance Plans
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.
-
CMS launches mandatory joint replacement bundled payment initiative
Beginning April 1, approximately 800 hospitals in 67 geographic areas will begin participating in the first mandatory Medicare bundled payment initiative.
-
62% of self-pays obtain coverage
Self-pay patients are converted to some type of coverage 62% of the time at West Valley Medical Center in Caldwell, ID, reports patient access director Jennifer Bette. The department uses these approaches:
-
PIAA: Most commonly missed or delayed diagnosis: breast cancer
Details of 2014 study from PIAA in Rockville, MD, on diagnostic errors and claims.
-
Use scripting to collect ED copays
Emergency department registrars use this scripting to collect copays at the Cooper Health System in Camden, NJ.
-
Emergency department collections nearly double with price estimates
Rising deductibles and lack of information on out-of-pocket costs make emergency department collections difficult, but patient access departments are succeeding with tools and training. Collections at Genesis Health System nearly doubled with a payment estimate tool, and collections rose by 10% at Cooper Health System because staff ask consistently.