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  Patient Access Weekly Advisor Patient Access Weekly Advisor 
 

PAWA offers best-practice tips from access professionals across the country who have found success with innovative approaches to problems. PAWA will also include a timely news brief to help you fine-tune processes and develop solutions for ongoing problems, such as collecting more money upfront and determining deductibles on high-deductible health plans.


April 16, 2008   (Volume 1, Issue 46)
 
Tip: Three ways to start using physicians in a denial program

Here are three options to consider if you decide to make physician participation a regular part of your denial management program:

Option #1: Pay a physician for denial management.Your organization may be able to hire a physician advisor to work on denial management who wouldn’t have any other administrative or clinical responsibilities. The physician advisor could work on a contingency basis—that is, his or her fee would be based on the amount of insurance reimbursement he or she facilitates. Another option is to add this function to the job description of a physician already involved in administration, such as your medical director.

 
Tip: Prepare for cost estimate training with new ABNs
Patient access managers must train their representatives to adapt to the new Advance Beneficiary Notice of Noncoverage, or ABN, which CMS released March 3 and that will be mandatory for facilities to use by September 1.
 
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As a patient access manager, recruitment and retention of quality staff is crucial. What is your turnover rate? What steps do you take to improve it? How do you hire the right candidate? And what do you do to keep them happy?

 
HCPro at the NAHAM Conference
HCPro’s editorial team will be at the NAHAM Annual Conference and Exposition in May, and we hope to see you there!
 

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