The Secret to Decoding Insurance Payments and Contracts

Posted on Apr 30 2015 by

In the 1930s, Ovaltine offered listeners of the Little Orphan Annie radio program a membership badge with a decoder ring that allowed listeners to replace numbers with letters and figure out secret messages – which usually urged them to drink Ovaltine. Fast forward to 2015, and a decoder ring can be bought online for under […]

The Effect of the Affordable Care Act on Charity Screening

Posted on Feb 26 2015 by

Significant changes in health insurance coverage are delivering a good and bad news report for providers. The good news is the continuing decline in the number of uninsured Americans. As of January 2015, the current uninsured rate is at an historic low of 12.9%. Much of this decrease can be attributed to the Affordable Care […]

Patient Billing Portal Makeover Boosts Patient Engagement (Part 2 of 2)

Posted on Jan 21 2015 by

As discussed in part one of this blog series, technology such as patient portals are changing the way physicians are interacting with patients and how those patients access their medical information. An article in USA Today quotes the American Academy of Family Physicians on usage: 41% of family practice physicians use portals for secure messaging […]

Encouraging Patient Engagement through Financial Communication (Part 1 of 2)

Posted on Jan 08 2015 by

Rudyard Kipling famously wrote, “Oh, East is East, and West is West, and never the twain shall meet.” That was once true of care delivery and medical payments; they were two separate departments encountered at different stages during a physician or hospital visit, and each was siloed to the activities of the other. Today, patients […]

Protecting Your Healthcare Portal

Posted on Nov 06 2014 by

The evolution from paper to online medical records is an opportunity to engage patients more fully in their care while making healthcare organizations more efficient. However, while patients enjoy the convenience of self-service access to all of their medical information, the portals offer cybercriminals a one-stop-shop for identity theft as well. According to Identity Theft […]

Better Insight Yields Better, Faster Claims Payments

Posted on Nov 05 2014 by

It’s only natural to want to be fairly, fully and quickly reimbursed for services – it’s the basic foundation of business. Yet only in healthcare does attaining this basic transactional norm become challenging. Healthcare providers must be vigilant at all stages in the revenue cycle to ensure the amount they receive is timely and accurate. […]

Robust Patient Estimates: The Key to Achieving Better POS Collections

Posted on Sep 16 2014 by

There’s a unique dichotomy in healthcare that’s not found in other service industries. For example, when you go out to eat at a restaurant, you don’t expect the server to ask you to pay before the meal is served. Conversely, you also don’t expect to walk out of the restaurant after the meal without paying. […]

Solving the Self-Pay and HDHP Patient Collections Conundrum

Posted on Jul 09 2014 by

In the “good old days,” U.S. healthcare was basically free – at least that’s what patients with a good insurance plan believed. You may have had a small co-pay, but if you were employed, chances were that you and your family received comprehensive health insurance that took a barely noticeable bite out of your paycheck. […]

Escape the Maze of Orders

Posted on Jun 04 2014 by

Trying to navigate the maze of outpatient orders without a strong technology platform can be a futile effort. Instead of creating clarity and continuity from order placement to scheduling, results and reimbursement, you can end up with disjointed parts that may not always lead you on a direct path to full reimbursement. An example of […]

The Patient Perspective: Keeping the Financial Experience Compassionate

Posted on Mar 05 2014 by

Meet Joe—a patient who is walking into a healthcare office, terrified of the news he might hear. He is confused and overwhelmed, not sure of where to turn for help. Joe isn’t entering a doctor’s exam room – he is actually walking into a hospital’s patient registration area, waiting to receive information about how much […]

Identity Theft: Protecting Your Organization is Easier Than in the Movies

Posted on Feb 18 2014 by

Picture this: A movie trailer features a healthcare organization with a newly-minted portal through which patients access their private health information, make appointments and ask questions of their physician. The plot thickens as an unwelcomed guest looks for an identity to steal. With a few key strokes of a predictable password, the thief strikes gold, […]

Staying one step ahead: How data and analytics can help predict patient responsibility and improve collections

Posted on Feb 11 2014 by

There aren’t too many situations in which an individual purchases a product or service, but is NOT asked to pay for it right away. Healthcare, however, is somewhat unique in that regard, often avoiding a retail-based experience where patients receive service, but pay quite some time later, whether in full or the balance. Not surprisingly, […]

Revenue Cycle Myths: Realistic Ways to Increase Reimbursement in an Era of Value-Based Care

Posted on Feb 07 2014 by

With the rapidly changing healthcare environment, many organizations are taking a hard look at their revenue cycle, seeking proactive ways to enhance both efficiency and performance in the era of value-based care. While the need to improve is clear, the opportunities for improvement may be obscured by myth and misperception. For example, consider the following […]

6 Healthcare Business Trends to Watch in 2014

Posted on Jan 28 2014 by

With the dawn of the New Year, we’re facing some of the biggest, most important changes in recent healthcare history. Not only is the massive ICD-10 implementation upon us, but Meaningful Use initiatives continue to prevail. In addition, six more emerging trends promise to have a significant impact on the way healthcare organizations approach business […]

Take control of the reimbursement process: Leverage data and analytics to elevate payer contract performance

Posted on Jan 16 2014 by

By all accounts, healthcare reimbursement is complex. Given the highly specific contract terms between thousands of providers and payers, there are bound to be situations where payer compliance falters and payments are not accurate. In fact, national payers make approximately 500 payer policy changes a year, which only adds to the complexity. As organizations strive […]

Patient Access Staff: The Gatekeepers to the Patient Experience

Posted on Dec 12 2013 by

We encounter gatekeepers every day, ranging from TSA agents at the airport and call-center operators for online retailers to office receptionists and hotel front desk staff. Gatekeepers have a tough job as they manage access, filter information, provide advice and maintain order. Their attitude and actions dramatically impact our experience as consumers. The healthcare industry […]

Where’s the data? Realizing your revenue cycle’s true potential

Posted on Oct 31 2013 by

Remember those commercials for the hamburger chain in the mid-1980’s? An elderly lady angrily shouted, “Where’s the beef?” in response to seeing a tiny burger on a large, fluffy bun. If that same creative concept were applied to healthcare today, perhaps the lady would proclaim, “Where’s the data?” when looking at the revenue cycle. While […]

Catching Misclassified Accounts Early Pays Off

Posted on Oct 22 2013 by

Sometimes it’s all in the cards. And, in the end, it’s usually not a winning hand for the healthcare organization. In this case, the “card” is the patient’s insurance coverage and the “hand” is the increasing amount of bad debt that can be avoided. For example, a patient presents his or her insurance card at […]

Patient Experience and HIX: An Underexplored Connection

Posted on Oct 03 2013 by

Americans who do not currently receive health insurance through their employers or a government program such as Medicaid or Medicare are now required to obtain insurance coverage or pay a penalty tax per the Affordable Care Act’s individual health insurance coverage mandate. These consumers can go to newly created health insurance exchanges (HIX) — offered […]

Putting the patient first: Developing personalized payment plans for compassionate patient collections

Posted on Sep 18 2013 by

We live in a choice-based society. Every day we are at liberty to make a myriad of choices. like where we live, where our kids go to school, what to eat, whether to exercise, which car we drive or what movie to see. This era of consumerism also means we have choices for healthcare. And […]