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Every business, especially a medical practice, needs to run like a well-oiled machine

Just as oil prevents an engine from drying out and freezing up, your medical practice must have a well-developed denial management program in place. This is the first proactive step.  

7 Ways to Ease Collections

Collecting money from patients is an ongoing challenge that has only worsened with high-deductible health plans. Traditionally, physicians have accepted this challenge as the status quo, instead choosing to overlook unpaid balances and provide the care that patients need. However, experts say the COVID-19 pandemic has prompted them to rethink this strategy and take a more proactive, business-savvy approach.

Patient collections: A complex issue

 “Medical practices are really in a lot of trouble right now — especially independent primary care practices — because of lower reimbursement,” says Rozmin Bapat, CCS-P, CPB, CPC, CPCO, CPMA, president of CodeRite Healthcare Consulting. “A lot of doctors are asking patients to pay up front. Sending statements is a big cost drain on their revenue.”

Still, asking for payment and receiving it are two different things. Asking is, of course, the first step; however, practices also need to address this major barrier: Patients don’t understand their health insurance benefits, including what they owe and, more importantly, why.

“What we’ve seen is that office staff are not trained properly,” says Bapat. “They can’t explain the bill, and it leads to more patient frustration.”

Another layer of complexity? The Wall Street Journal reported earlier this year that certain credit-reporting firms have already started to remove medical debt that consumers pay after their bill goes to collections—debt that can sometimes remain on a credit report for up to seven years. Starting in 2023, some credit-reporting firms will also remove unpaid medical debt of less than $500. Asking patients to pay their medical bill may become more difficult when there are fewer financial consequences.

Patient collection strategies for success

Experts provide the following strategies to ease the burden of patient collections and improve cashflow and revenue.

Looking ahead

Experts agree that now is the time to improve the patient collections process. “Health care organizations need to compensate staff, invest in new technology, and support the services they offer to patients,” says Hutson. “Reimbursement for health care services is essential to sustaining high quality care to the communities they serve.”

Revenue cycle check-up:

Assessing the Internal Components to get a Clear Picture of Your Practice’s Financial Health

From MGMA Connection  January 2021

With fee-for-service almost in the rearview mirror and pay for quality now a reality, it’s time to transform the revenue cycle.

The drudgery of antiquated manual processes and the accumulated effects of burnout from a year of pandemic challenges may have you wondering where to begin with transforming from volume to value.

That’s where an internal revenue cycle assessment can be useful. Some activities, such as financial assessment, may require monthly review. Others — such as SWOT (strengths, weaknesses, opportunities, threats) analyses — are performed annually.

Click to view the full article here in the Ink file called “The Business End”.

 

36 Guidelines to Evaluate a Practice Management

Need to know where to begin:

  • Financial Management – Billing and Collections
  • Financial Management – General
  • Personnel Management
  • Marketing and Practice Promotion
  • Self Development
  • Leadership Skills

To view the entire checklist