Claims cleanup: Use technology to verify all insurance
Although your patients' insurance cards are supposed to facilitate filing correct claims, they often represent inactive memberships and, ultimately, a stack of denial dilemmas. The unfortunate truth is that many patients are unsure-or misinformed-about what insurance they really have. "In the past, there was Medicare, and that's all there was to it," says Frank Gill, CPAM, vice president of Metropolitan Collection Services in Mechanicsburg, PA. Gill has worked in hospital collections for 20 years. "That's not the case anymore, because of newer managed care insurances, such as HMOs and PPOs," he says.
- How Top-Ranked MA Plans Earn Their Stars
- Readmissions: No Quick Fix to Costly Hospital Challenge
- How Hospitals Can Become 'Upstreamists'
- 4 Ways to Lower the Cost to Collect from Self-Pay Patients
- House Calls Key to Pioneer ACO Success
- How Telehealth Pays Off for Providers, Patients
- 4 Tips for Managing Employed Physicians
- WellPoint Dominates Nearly Half of Markets, AMA Says
- Defensive Medicine Still Prevalent Despite Tort Reform
- CMS Offers Some ACOs $114M for 'Upfront' Costs