Five Tips to Improve Medical Point of Service Collections
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Point of service collections
As insurance premiums continue to rise, hospitals must take more care to maximize their point of service collections. The healthcare financial management association recently recognized hospitals that have successfully implemented point of service collections. Point-of-service collections accounted for as much as 39 percent of all self-pay cash collected by individual providers and 27 percent by large hospital systems. Although the results were a modest increase, it’s important to note that point-of-service collections are an important part of revenue cycle operations. Listed below are five tips to improve medical point of service collections.
Preauthorization
The process of medical preauthorization is becoming increasingly cumbersome, requiring more time and effort from healthcare professionals and patients. According to a study conducted by the American Medical Association, a physician spends an average of one hour per week coordinating preauthorization requests. In addition, nurses and clerical staff must spend 6.3 hours per week on the process. Physicians are also sapping time and energy from their clinical practices by dealing with the delays, which often lead to a patient seeking emergency care and incurring a bill they are not expecting from their health insurance plan.
Insurance coverage
A health insurance plan is a contract between an insurer and an individual. This contract requires the insurer to pay the cost of certain medical services for the insured. Some insurance plans may also require the insured to pay a copayment, which is a certain amount that the insured must pay when using a healthcare provider. This copayment may be a set dollar amount or a percentage of the service cost. Other insurance plans require the insured to pay a certain amount of the claim, known as coinsurance.
Obtaining necessary preauthorization for medical services
If you are seeking out medical services, you should obtain necessary preauthorization from your health insurance plan. You may need to submit a prior authorization request on your own behalf, but your doctor will likely do it for you. Follow up on the request to avoid getting an unexpected medical bill. Obtaining prior authorization is also important if you wish to avoid unexpected claims denial. Obtaining preauthorization before undergoing medical services will ensure that you receive the most appropriate care possible at the best possible price.
Participation in clinical research
Many people choose to participate in clinical trials for various reasons, including access to the latest experimental treatments or contributing to medical knowledge. Many trials are conducted for the benefit of patients, while others are designed for those with specific conditions. While clinical trials have their risks, participants can benefit from new medicines and devices by assisting researchers in their search for more effective treatments. There is no guarantee of acceptance, but by volunteering, individuals can gain access to the latest treatments for their conditions.
