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Including patient access in the process is part of acknowledging the ever-expanding importance of front end participation in the revenue cycle.
Hospital leaders may view patient access leaders as operating mostly “behind the scenes.” Presenting at conferences is a great way to change that outdated perception.
Medicaid has expanded in many states so previously uninsured patients can access coverage. However, many may not be aware they qualify. Learn how one health system helps eligible patients enroll.
More health plans are asking for certain pieces of clinical documentation before paying claims. If it is not there, the claim is denied. What are the specific issues arising?
Payers are refusing to pay claims for gastric bypass, joint replacement, and even cataract extraction. Why? Because documentation in the record does not support the need for surgery.
Certain patients who say they do not have any insurance actually are covered in some way. It is the job of patient access staff to find it — and avoid uncompensated care for the hospital.
The amount of needed education for patient access is only increasing. How can leaders help staff keep up?
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