Course | Overview | Patient Access

In this course we will address the basic billing rules for major health plans, including an overview of basic billing features and benefits, types of billing rules and minor claim payers and plans.

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Course | Basic | Patient Access

In this course we will address the pre-registration purpose and process, information collected during pre-registration, and consequences that an organization may experience due to inaccurate or incorrect patient information. It will also pr...

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Course | Basic | Patient Access

In this course we highlight the various types of health insurance that your patients may present at registration. We'll review the fundamentals of Medicare, Medicaid, and third-party liability plans. You'll learn how verifying a patient's i...

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Course | Basic | Patient Access

In this course we will address scheduling processes, including

  • Patient identification
  • Requested service
  • Medical necessity screening
  • Medicare Advance Beneficiary Notice of Noncoverage processing
  • Pa...

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Course | Basic | Patient Access

This course describes the types of advance directives and explains the role of the registrar in identifying the existence of advance directives and processing such directives when they exist. It describes the specific challenges involved in...

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Blog | Patient Access

Expediting Access to Care With Same-Day Appointments

Blog | Patient Access

Expediting Access to Care With Same-Day Appointments

Figure: exit rich text editor to add content From courier services to dry cleaning to gift delivery, among others, many industries have transitioned to offering same-day services that accommodate consumers’ increasingly busy lives. But when seeking health care, patients generally continue to experience long wait times for an appointment with a clinician. In fact, physician appointment wait times have increased by 30 percent since 2014, according to a 2017 Merritt Hawkins survey. Across 15 large metropolitan markets, wait times across five specialties average about 24 days, up from 18.5 days in 2014, 20.5 days in 2009, and 21 days in 2004. When required to wait days or weeks for an appointment, patients are often left frustrated and might even decide to forgo seeking care. While this issue certainly was not unique to Allegheny Health Network (AHN), our integrated healthcare delivery system based in Pittsburgh, we sought to change the

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PAE: Health Plans - An Overview

In this course we will address the basic billing rules for major health plans, including an overview of basic billing features and benefits, types of billing rules and minor claim payers and plans.

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In this course we will address the pre-registration purpose and process, information collected during pre-registration, and consequences that an organization may experience due to inaccurate or incorrect patient information. It will also provide an overview of the Medicare Secondary Payer screening process.

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PAE: Importance of Insurance Verification

In this course we highlight the various types of health insurance that your patients may present at registration. We'll review the fundamentals of Medicare, Medicaid, and third-party liability plans. You'll learn how verifying a patient's insurance eligibility and benefits affect the coordination of benefits process, which determines the primary payer and secondary payer on a claim.

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