ABSTRACT
It is important to periodically reassess the environment and what we need to accomplish in the near-term (or mid- or long term). Our skills, insights, knowledge, and talents grow yearly and maybe, just maybe, problems that we thought were intractable are, indeed, solvable. Play with the idea of Mission Statement, Objectives, and Keys to Success to stir up your neurons to execute a plan of excellence.
Subject(s)
Patient Credit and Collection/organization & administration , Practice Management, Medical/economics , Planning Techniques , United StatesABSTRACT
1. You cannot provide quality payment compliance without using your practice management system-use its functionality. 2. Develop internally a denial expert (probably from your existing billing or collection follow-up staff)-the position will pay for itself. 3. Ensure the integrity of your processes (i.e., cash posting). 4. Categorize underpayments by action required. 5. Develop a policy for blind PPOs. 6. Involve top decision makers in the process.
Subject(s)
Contracts/economics , Health Maintenance Organizations/economics , Insurance, Health, Reimbursement/economics , Managed Care Programs , Practice Management, Medical/economics , Accounts Payable and Receivable , HumansABSTRACT
CDHPs are here to stay. Employers welcome CDHPs because they drive costs away from themselves and into the hands of both consumers and provides. The consumer will make medical purchase decisions tempered by personal economic considerations. The providers are left to figure it all out with the hope their cash flow, cost budgets, and customer service will not be negatively impacted. It will not be easy. Practices must become educated on how CDHPs work, become knowledgeable about specific HSA scenarios in their market, develop optimum processes and procedures, and train staff.
