Read case studies, white papers, and research with insights on best practices for billing, coding, and understanding the hospital revenue cycle
It can be difficult to keep up with changes in healthcare and understand the hospital revenue cycle, which is why MedData offers research in easy-to-understand case studies and white papers. Explore tips and strategies on how to better engage patients.
Historically, revenue cycle management has focused on maximizing insurance reimbursements, but as patient financial responsibility continues to increase, the landscape is quickly changing. Learn how physician groups and hospitals can expect stronger reimbursement on patient balances when focused on patient education and satisfaction.
Increasing collection efficiency to near the theoretical maximum of 96-97% can have an immediate financial impact and produce long-term benefits for physician groups and billing companies.
Cut costs with the 4 pillars of a transformative revenue cycle. Learn more about what healthcare finance executives say is the #1 most important performance management activity for 2018.
Historically, health systems have focused their financial advocacy efforts on self-pay mothers, but with the rising costs amongst the commercially insured in premiums and high dollar deductibles, the efforts should cross all payer types. Learn why developing a strong newborn eligibility process is an important opportunity not to be overlooked by your organization.
The healthcare industry in the middle of major transition to a value-based care model, and many finance executives point toward cost reduction as the most important way to adapt to today’s swirling economic and regulatory environment. But how do you keep prices affordable while trying to improve access, outcomes, and quality all at the same time? MedData’s single patient financial touchpoint, MedData OneTouch, takes a new approach to revenue cycle management – one where all patient-facing financial programs run parallel and in the proper, compliant order.
Self-pay patients applying for resources to help cover their bills don’t always complete the process before they are discharged from the hospital. This can lead to limited reimbursement for hospitals. Field advocacy is an effective means of extended outreach to help patients find assistance that’s available – and, in turn, increase hospital revenue.
After hospitalization, a large percentage of patients are discharged to post-acute care settings. But the appropriate pathway isn’t always immediately clear, which can result in extended and expensive hospital stays. A swift and strategic plan can mitigate some of the confusion surrounding PAC application.
In a fragmented and constantly changing healthcare environment, OWPs can benefit hospitals and health systems that are looking to enhance patient eligibility solutions.
For a long time, American Indians and Alaska Natives have had lower health status when compared with other Americans. The Indian Health Service provides a comprehensive health service delivery system to help this economically challenged population deal with many vast health disparities. The AI/AN population offers hospitals and health systems a huge opportunity for IHS reimbursement. However, this program is often overlooked because of its intricate bureaucracy and complexly layered involvement with hundreds of tribes, public and private organizations, and state and federal agencies. But IHS is not a payer that should be ignored.
By integrating eligibility and TPL, hospitals can better identify third-party payers, ensure faster and better reimbursement, and improve the overall patient experience.
MedData went on site to review the facility’s current processes, including an analysis of their payer arrangements and known challenges. As a result of this review, MedData proposed a Day 1 referral solution for working the hospital’s inventory of Workers’ Compensation accounts.
MedData implemented its Third Party Liability program, which includes a thorough review of legal, regulatory requirements and legislative activity. Emphasis was placed on working closely with the hospital’s team from start to completion to ensure a positive patient experience.
MedData delivered a complete white label patient pay solution that began processing 100% of the patient responsibility accounts on Day 1.
As a community-focused organization, the health network had serious concerns with their inability to successfully manage the dramatic shift in their patient pay portfolio, and specifically how that would impact their relationships throughout the community. Their patients had longstanding primary care relationships that feed into the local hospital system. Alienating patients via potentially contentious and frustrating collection agency processes initially appeared to be the only option…until they heard about MedData.