When the patient arrives the day of the appointment, the first thing your staff should be verifying is the patient’s insurance. Sometimes you find that insurance has changed in just the short period between scheduling and appointment day. Another reason for insurance verification is to prevent or detect insurance fraud/identity theft. According to The Institute of Medicine over $75 billion annually is lost from the U.S. Healthcare System due to insurance fraud. Having your staff check for duplicate records and payment fraud is important. Ensuring your staff is checking the eligibility of insurance before service can aid in the detection of insurance fraud. How does your practice prevent such fraud? Simple, your practices part in it all is to ensure the insurance is in fact tied to the patient. To do that, it is vital that your staff verifies the identity of the patient first and then searches for any records attached to that patient.
One key strategy for improving your practices time-management, and overall effectiveness is to implement providing patients with pre-registration and any pre-visit paperwork. In collecting these materials and important information prior to the patient’s appointment, you are creating patient satisfaction while simultaneously improving the efficiency of your process overall.
Topics: Authorizations, customer service, customer satisfaction, Client communication, client services, communications, pediatric behavioral health, rural health, patient accounts, practice management, patient satisfaction, Coronis Health, medical billing, FQHC, Federally Qualified Health Center
First, let's define what an EHR system is. An EHR (Electronic Health Record) System is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. One of the best parts of the EHR system is that it allows a patient’s information to be shared across all different types of healthcare settings.
I have been privileged to work with many practices and specialties, helping them navigate the very confusing Medicare Quality Programs. I wanted to leave you with a few tips for the 2018 reporting year:
Medical billing can be time-consuming, yet, if you’re like many physicians who are in private practice, you have your staff handle patient billing in-house. No doubt you know that billing is also one of the most complicated aspects of running your own medical practice.
Medical billers must have a comprehensive knowledge of various aspects of physician practice management. They must know billing and coding as well as explain the costs of medical treatment to a patient in person. They must also know Medicare/Medicaid regulations, HIPAA, and other complex state/federal guidelines, insurance requirements, and more.
The revenue cycle management market is expected to grow at a compound annual growth rate of 7.2 percent from 2014 to 2019, and it is one of the functions healthcare providers outsource the most, according to a recent report from MicroMarket Monitor.