Reimbursement cuts, payment delays threaten ED bottom lines.
The best way to limit the damage to your department from arbitrary insurance reimbursement reductions and delays is to be proactive. Learn all you can about the appeals process and be on guard for subtle signs that the insurer's payment procedures may have changed without any formal announcement. * When negotiating a contract, be sure to have a billing and coding expert accompany you. * Regularly compare your volume statistics with your revenues to spot sudden substantial discrepancies. * If you suspect a change in reimbursement procedures, conduct a random audit of at least 100 charts.
D004469:Economics, Hospital / Q000458:organization & administration*; D004636:Emergency Service, Hospital / Q000191:economics*; D006801:Humans; D012051:Reimbursement Mechanisms / Q000458:organization & administration*