Certain patients present with valid insurance cards, but what they do not realize is their health plan covers next to nothing. Employers may offer limited benefit plans, but employees do not realize those options only cover a small dollar amount.
For rural hospitals, even minor increases in automation can lead to dramatic revenue cycle outcomes. Read on to learn about two examples of how implementing even a single tool can produce a big return on investment.
Health plans issued many waivers during COVID-19 — for authorizations, for copays, and for telehealth. But patient access departments soon found the devil was in the details, with varying time frames and stipulations all coming into play. The result: A flood of denied claims. Learn how registrars are starting to sort through the mess.
The revenue cycle impact is going to vary, depending on many factors. Short- and long-term evaluations of the COVID-19 pandemic impact are necessary to make sound conclusions and determine any future actions/directions.
Starting April 5, patients must be able to access all the health information in their electronic medical records without delay, as required by the ONC Cures Act Final Rule. Most organizations will be able to leverage their existing technology to make records available to patients. Revenue cycle departments will need to review scripting to ensure it aligns with the new rules.
A covered entity’s victory over proposed penalties from the Department of Health and Human Services was good news for those responsible for HIPAA compliance, showing that good faith efforts and a willingness to fight the allegations can pay off.