Featured Content

    embrace-tablets

    Embrace Disruption

    Break free from financial inefficiency with a new, innovative approach to RCM. Get insights from your peers and learn about our dynamic technology adoption model.

    Learn More

    Featured Content

      FinThrive_EXEC_Revenue Management Automation Guide-svg

      Your Guide to an Autonomous Revenue Cycle
      Plot a course toward forward-thinking innovation that improves efficiency, the patient experience and your bottom line.
       

      Read

      Watch & Listen

      Attend

      Four Strategies to Reduce Uncompensated Care

      Featured Image

      Uncompensated care is a universal pain point for healthcare organizations—rising by $1.1 billion in 2020 to $42.7 billion.1 And while it may not be possible to eliminate it, there are initiatives you can put in place today to lessen its impact.

      Emerging revenue management platforms are creating new opportunities to improve end-to-end process analytics, adopt advanced automation and ultimately find and fix revenue leaks.

      Today, patients shoulder most healthcare costs. That means they expect the buying experience to be as seamless as it is in other industries. But it’s not. Given the shift in payer mix, it’s critical that healthcare organizations ensure price transparency, flexibility in payment and an improved patient financial experience.

      When creating a go-forward revenue management strategy, consider the following four tips:

      1. Be up front with pricing and payment options

        Your patients expect to know how much their healthcare is going to cost before they seek care. Make sure transparent pricing is easily accessible, in a format patients will understand. An online tool that provides an accurate estimate prior to service enables transparent, engaged financial conversations between all stakeholders. There are solutions available to help simplify this process—and it’s worth the investment, considering 65% of patients are more willing to make at least a partial payment when given an estimate prior to service.

      2. Establish funding mechanisms in advance of providing care

        Establishing funding mechanisms in advance of care helps prevent bad debt and promotes a positive patient financial experience.

        Determine the patient’s financial situation and ensure those who need assistance get it. Make sure those who pay can do so in the most flexible way, tailored to their unique financial position.

        Put propensity-to-pay analytics to work. This helps segment patients into the most appropriate payment classes: who has the means to pay, who’s most likely to pay, and who qualifies for charity care and financial aid. This provides your team with the data needed to prioritize and more efficiently work accounts.

      3. Look for coverage opportunities

        A patient’s eligibility for insurance coverage may change over time for many reasons, including data entry errors, plan changes and undisclosed coverage. Whenever possible, screen patients for insurance eligibility information before care is received, as this helps consolidate the claim cycle and drive yield.

        Many hospitals discover self-pay patients with insurance coverage as late as 120 days after the patient’s discharge. Before making a bad debt placement, conduct a final commercial or public payer insurance coverage sweep to convert self-pay status to payer coverage.

      4. Make payment easy for patients

        Healthcare bills can be confusing—often arriving separately from the physician and facility. When costs are unclear, patients are less likely to make timely payments. Mitigate this by offering patients a payment platform that makes it easy to:

        • Understand when and to whom bills have been sent
        • Request itemized statements
        • Make payments from various payment sources
        • Communicate digitally with hospital billing staff

        Organizations that implement online bill payment, communication and financial assistance application programs typically benefit from higher patient experience scores, improved cash recovery and less bad debt.

      Learn more about end-to-end revenue management.

      Sources:

      Fact Sheet: Uncompensated Hospital Care Cost | AHA

       

      View All Blogs

       

      Improving the Efficiency of Healthcare RCM: A Key to Financial Health

      In today’s challenging healthcare landscape, effective revenue cycle management (RCM) has become paramount for healthcare providers despite years of...

      Read More

      Healthcare Revenue Management Insights: Q3 2023

      Welcome to the third quarter 2023 edition of the healthcare industry insights! Continued recovery is occurring as we start to close out 2023. Per...

      Read More

      Addressing Medicare Bad Debt Reimbursement Issues in Healthcare

      Navigating reimbursements for the Medicare program has been a long-standing challenge for many providers. With the government reimbursement landscape...

      Read More