Billing and Collections

Automating billing processes, offering patient-friendly payment options, and developing strategic discharge processes can improve pre- and point-of service collections, while increasing patient satisfaction.

New processes and automation helped the health system cut denied dollars in half for radiology services alone.Back in 2007, leaders at Carolinas HealthCare System, Charlotte, N.C., wanted to make their pre service processes more efficient and effective. Specifically, they wanted

As more payment responsibility falls on the shoulders of patients, healthcare organizations should prioritize financial counseling to help them understand the billing process and meet their obligations—throughout the entire care episode.

What is a standard pricing methodology for hospitalists who provide both inpatient and outpatient services?

By offering flexible and competitive work options, Providence Health maintains a high-performing customer service contact center that reduces bad debt and helps patients find financial assistance.

Are unbilled charges and DNFB charges included in the total outstanding A/R amount used to calculate net days in A/R?

What is the industry best practice for hospital payment plans, including terms, length, minimum payment, and interest bearing options?

In three very different health systems, administrators achieved success in bringing together hospital and physician billing. For example, CentraCare saved $1.5 million since it completed the integration in 2015.

This tool is a graphic depiction of the contemporary revenue cycle road map, providing a description of and context for the typical revenue cycle work flows with a focus on the consumer, the patient, and the customer.

What points should a hospital or medical group consider when generating a pre-service estimate of patient responsibility for patients with traditional Medicare coverage?