HFMA Comment Letter: CMS Should Test the Readiness for ICD-10 Implementation
HFMA urges CMS to undertake a comprehensive approach to testing the readiness of the Medicare contractors and state Medicaid agencies for the October 1, 2014, ICD-10 implementation.
Patient Friendly Billing Resources
Patient Friendly Billing Resources Here is an extensive list of patient friendly billing reports, analysis, tools, case studies, and related information.
Providence’s Revamped Billing Statements Led to Quicker Payment
Providence Health System developed a patient billing statement that encourages faster payment.
Early, Transparent Financial Communications
A PATIENT FRIENDLY BILLING® Project Recommended Practice. This statement specifically addresses patients' rights to understand and prepare for their financial obligation at the earliest point possible in the care experience.
Ask the Experts Answer: Cost-to-Collect Calculations
Q: We are basing staffing decisions on your benchmark of 2% of collections for cost-to-collect. Would you explain how you arrived at this percentage? We would like to obtain the facts and background that went into that research since it will be utilized at our facility for important decisions.
Ask the Experts Answer: Urgent Care Center
Q: We are opening an urgent care center that will be hospital-based. The consulting team that is setting-up the billing suggests that we have two different charge slips and two different prices -- one for self pay and one for insurance patients. I am not comfortable with this recommendation and would like guidance on charging two different prices.
Ask the Expert Answer: Calculating Cost-to-Collect
We are basing staffing decisions on your benchmark of 2% of collections for cost-to-collect. Would you explain how you arrived at this percentage? We would like to obtain the facts and background that went into that research since it will be utilized at our facility for important decisions.
Ask the Experts Answer: Billing for Urgent Care Center
We are opening an urgent care center that will be hospital-based. This is a new venture for our hospital. The consulting team that is setting-up the billing suggests that we have two different charge slips and two different prices -- one for self pay and one for insurance patients. I am not comfortable with this recommendation and would like guidance on charging two different prices.
Ask the Experts Answer: Industry Standard Off-Billed Charge
We are a niche DME provider trying to set a patient pay rate for those who are either under insured, don’t have insurance or are out-of-network. What would an industry standard discount off-billed charge look like for those without benefits and when we don’t incur the cost to bill the third party?
Ask the Expert: Insurance Claim Standards
Q What are the healthcare industry standards for the number and dollar amount of insurance claims worked for a collector per day, week, and month? A Unfortunately, there are no industry standards or KPIs available at this time. However, providers