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Patient Access Advisor
 
Here's a resource for directors and managers of patient financial services (PFS) to help them capitalize on revenue opportunities and improve the bottom line; every issue is filled with training tools and resources including sample policies, forms, and worksheets to institute improvements in the department, reduce denied claims, improve front-end processes, and track government and private payer rules.

To view the entire newsletter issue, click the “View Entire Issue” link below

April 2008   (Volume 5, Issue 4) view entire issue
 
People skills first

Accuracy, production take a backseat to a smile and a good impression

Accomplishing registration accuracy, check. Understanding how to deliver an advance beneficiary notice, check. Handling a phone call from a patient, check.

A patient access representative needs to be competent at performing all of the above.

The burden to train representatives falls on the access manager. When representatives fail to meet expectations, the access manager must take the time to revisit training.

But can good customer service skills be taught, or are some people naturally inclined to communicate effectively with others?

 
And what's your credit card number?

In snow and skiing country, Copley Hospital in Morrisville, VT, a critical access facility, sees its share of patients due to injuries in the Green Mountains. The patient access team also sees its share of Canadian and European patients who are vacationing in the area. It is up to the access team to make sure it gets the necessary information, such as a credit card number, to track these patients down postvisit.

 
No denying the wait
Some days, Irma Becker, the revenue cycle manager of patient access at Phoenix (AZ) Children's Hospital, wishes her facility had more ED bays. Other days, she wishes patients came to the ED for true medical emergencies only- not for an ingrown toenail, as one patient did at a hospital where Becker previously worked. And some days, Becker just wishes she lived in Canada because of the more affordable and efficient healthcare, she says.
 
In charge at home

Some patient access managers worry about compliance and lack of control over employees. Others say it results in outstanding customer service. Some worry about incoming calls and how representatives handle them. Others say that is not a concern. Having your preregistration staff members work from home can be harrowing, but it can also build a better relationship with the patient. And when you are on the front line, customer service is a priority, patient access professionals say. As long as management can ensure it gets the most out of staff members who work from home, it should be a win-win.

 
Medicare Secondary Payer questionnaire: Getting the answers
The Medicare Secondary Payer (MSP) questionnaire exists as a guide for patient access staff members in obtaining the information required to determine who pays the patients' bills, thereby helping to ensure proper reimbursement and avoid billing confusion. Unfortunately, the correct answers don't always make it onto the questionnaire. The problems often begin when patient access staff members do not understand the relevancy of some of the questions and make assumptions. And when staff members do ask, patients often don't have the answers or don't understand why they are being asked in the first place.
 
Credit card consent form
The following is the form used by the Patient Access team at Copley Hospital in Morrisville, VT. The facility sees many international patients and strives to get a credit card number during their visit.
 
Medicare secondary payer basics for registration staff

True or false questions to help your staff achieve accuracy.

 

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