Prompt payment depends on revenue-cycle diligence.
How effectively you manage the revenue cycle is reflected in the cycle's outcome-whether you receive full and timely payment for all services billed to payers. To ensure prompt and full payment, you should: Educate your patient financial services (PFS) staff on all relevant laws and regulations regarding payment for healthcare services. Make sure your staff is well versed in all of the provisions of your payer contracts. Implement a state-of-the-art patient accounting system that is capable of producing drill-down reports of all aspects of contract performance by payer. Enforce payer compliance by maintaining complete records of dates of service, final billing dates, dates claims were mailed or electronically submitted to the payer, all actions performed by your staff regarding claims, and all communications with the payer.
Barber
Robert L
RL
Carolinas Healthcare System, Charlotte, North Carolina, USA. RBarber@CarolinasHealthCare.org
D000066:Accounting; D000067:Accounts Payable and Receivable; D005377:Financial Management, Hospital / Q000379:methods* / Q000592:standards; D007318:Inservice Training; D007344:Insurance Claim Reporting; D007349:Insurance, Health, Reimbursement; D008331:Management Information Systems; D009817:Office Management; D010350:Patient Credit and Collection; D013995:Time; D014481:United States