Case Management

Tip of the week

Case Management Weekly, March 24, 2004

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Tip of the week: Identify patient access trouble spots to decrease denials

 

The admitting/access process often initiates problems that result in denied claims. By isolating potential hot spots, you can help educate your staff to reduce front-end data collection errors, says Cassandra S. Crowal, director of revenue enhancement and access services at MidState Medical Center, Meriden, CT.

 

She gives the following advice:

1. Conduct daily audits on your admission/registration process. Was an incorrect provider name the source? Was the wrong date entered?

2. Coordinate insurance company rejection feedback. It's important to keep track of why private payers are denying claims. Share your findings with your revenue cycle team.

3. Look at your discharge process. A lot of money is lost for not filing information in a timely manner. Do you monitor your late charges? Audit and report on missing authorizations and share findings with staff.

 

Source: Patient Financial Services Advisor, to subscribe, visit http://www.hcmarketplace.com.



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