Excessive healthcare costs continue in the United States. What can be done about it? While administrative burdens do suggest a single payer solution, there are other factors that can help, including pricing transparency and pharmaceutical prices. Why are there so many unneeded medical tests being performed?
As regulations change and the ACA is weakened, hospitals face a new round of revenue challenges centering on a patient’s ability to pay. We take a look at the pain points teams face, trends, and solutions.
Access Director helps providers manage patient encounters efficiently to achieve full patient financial clearance and prevent front-end revenue leakage. An integral part of SSI’s enterprise revenue cycle suite, Access Director can function as a stand-alone SaaS platform with an intuitive user interface or can be integrated into a provider’s existing host system/HIS with single sign-on functionality.
Access Director helps providers manage patient encounters efficiently to achieve full patient financial clearance and prevent front-end revenue leakage.
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When a hospital has a claim denied, that revenue can be lost. Forever. That is if appropriate actions are not taken promptly when claim denials occur.
Financial perils in the healthcare industry continue. Costs rise. Deductibles increase. Hospital debt forces closures. The impact of soaring health costs reaches everyone involved, from the providers of healthcare to the patients.
Does your hospital offer transparent pricing estimates for prospective patients? Some leading hospitals are already doing this and at some state websites you can compare average costs for procedures at facilities across the state. However, these are the exceptions, so we take another look at what’s going on in the national drive to achieve healthcare pricing transparency.
What is blockchain and how might it be used in healthcare? In its simplest iteration, it is a new way to secure healthcare information. But if the big money players including Google’s AI company DeepMind work their magic, it could be a technology that totally transf.orms healthcare as we know it today.
Do you have patient navigators on your team? Patient navigators reduced readmission rates by 60% in a recent study, and provided other positive effects on the hospital revenue cycle.
What happens when physicians disagree on what is medically necessary? What’s the difference between outright fraud and failure to accurately meet medical necessity for services that were rendered? Let’s explore these issues in greater detail.
Solutions for smart hospital revenue cycle management continue to evolve as technologies, workflow processes, and cross-team integration strategies improve. Even so, a recent report showed larger hospitals are on average leaving $22 million in revenue capture on the table. What can be done to address this?
In an era of high deductibles, how do you solve the patient collections problem? One solution is,”when hiring front-of-house staff, Gray [Josh Gray, VP of research at Athena health] suggests establishing expectations and make clear that new hires understand collecting outstanding balances at the time of service is critical and hold them accountable.
Primary goals of healthcare reform include the core principles of reducing healthcare spending and providing a cost-effective, high-quality care. Healthcare price transparency is a key piece to this puzzle in the form of tools that allow consumers to compare prices for healthcare services among multiple providers. Learn more about the outlook for healthcare price transparency in 2017.
The process of manually submitting authorizations and pre-certifications can produce delays and increase an organization’s chance or error. Learn how a coalition of 17 healthcare organizations have proposed to reform the landscape of prior authorization.
Denial and claims management are key focus areas in the hospital revenue cycle process. While traditionally thought of as a back-end focus area, more hospitals are taking a proactive approach to identifying possible problems up front.