The underpayment challenge: Capturing dollars through an organized approach to payment compliance.
1. You cannot provide quality payment compliance without using your practice management system-use its functionality. 2. Develop internally a denial expert (probably from your existing billing or collection follow-up staff)-the position will pay for itself. 3. Ensure the integrity of your processes (i.e., cash posting). 4. Categorize underpayments by action required. 5. Develop a policy for blind PPOs. 6. Involve top decision makers in the process.
Hajny
Tom
T
Health Payment Systems, Inc., USA. thajny@hps.md
D000067:Accounts Payable and Receivable; D032982:Contracts / Q000191:economics*; D006279:Health Maintenance Organizations / Q000191:economics*; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000191:economics*; D008329:Managed Care Programs; D011216:Practice Management, Medical / Q000191:economics*