Overcoming Common Challenges in Hospital Accounts Receivable Collections

September 06,2016 / By Josh Knoll

Josh Knoll

Implementing the best practices in hospital accounts receivable is one of the biggest challenges faced by providers. It is true that changes in federal regulations are impacting the world of healthcare business in a big way. HIPAA compliance, for example, with enhanced protection of sensitive information associated with patients, is one of the areas where every hospital has to pay due diligence. But this is something that is easier said than done. In many cases, 100% implementation of requisite measures remains beyond the capability of a hospital. It is for this reason, we witness such an abundance of healthcare revenue cycle management vendors today, providing competitive solutions in hospital accounts receivable collections while maintain full compliance with all necessary standards.

While you look to overcome serious challenges that are detrimental to the success of your business as a healthcare provider, you must employ the best practices with the help of an effective revenue cycle management partner.

~ The right vendor will not only help you with cost-cutting and getting rid of the usual hassles of maintaining in-house personnel, they will also implement sound tactics with excellent account management methods, often after a careful hospital accounts receivable analysis.

~ It will help you understand the present disparities and how you can utilize effective solutions with focus on the low-hanging fruits, as well as the high priority accounts that need maximum attention.

Allegiance to respective insurance company’s claims adjudication process is a key metric. Your vendor in revenue cycle management will look to eliminate process gaps, ensuring checks and balances with practice management and insurance verification services.

~ They will also ensure better denial management methods with hospital accounts receivable services by maintaining the TAT with appeals timely filing limit.

~ Attention to aging accounts that will yield consistent reimbursements should be the strategic vision to be adopted, and your vendor should work on exactly that in the best manner possible.

In the end, we can safely conclude by saying that if you need to gain control of your finances, turn your attention to patient care and ensure better business growth – you must look for a partner who will provide you a holistic solution to managing your entire revenue cycle, with all the best practices in place.


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