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
Ask the Expert: Getting Staff to Embrace Bedside Registration
Advice for revenue cycle leaders on getting hospital staff to adopt bedside registration or workstations on wheels.
Ask the Expert: Patient Access Productivity Standards
A list of patient access productivity standards for revenue cycle leaders.
Ask the Expert: CMS Statements for Medicare Patients
States--not CMS--have regulations in place related to timely patient notification of the availability of financial assistance/charity, as well as a statement that includes a summary of charges.
Ask the Expert: Patient Price Estimation
Advice for revenue cycle leaders on HFMA and online resources for determining patient price estimation.
Ask the Expert: Patient Responsibility Estimation
Advice for revenue cycle leaders on approaches for estimating patient responsibility.
Ask the Expert: Setting Industry Standards for Call Center Activities
Advice for revenue cycle leaders on how they should establish standards for call center activities based on their specific processes.
Tool: 5010 Checklist
A checklist to help your organization transition from 4010 to the 5010 transaction set by Jan. 1, 2012.
Tool: Comprehensive Revenue Cycle Flowchart
Brian Vander Mey compiled input from his peers and his own research into a flowchart that documents revenue cycle processes-for providers and payers-from beginning to end.
Ask the Experts Answer: Medicare Crossovers to Medicaid Bad Debt
If Medicaid contractualizes all or some of the amount deemed as coinsurance by Medicare, can the contractual amount be claimed as part of the bad debt on the cost report? Or, are we only able to claim the amount that Medicaid notes as being the copay or deductible on the cost report?