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Ask the Experts Answer: Billing for Urgent Care Center
We are opening an urgent care center that will be hospital-based. This is a new venture for our hospital. The consulting team that is setting-up the billing suggests that we have two different charge slips and two different prices -- one for self pay and one for insurance patients. I am not comfortable with this recommendation and would like guidance on charging two different prices.
Ask the Experts Answer: Industry Standard Off-Billed Charge
We are a niche DME provider trying to set a patient pay rate for those who are either under insured, don’t have insurance or are out-of-network. What would an industry standard discount off-billed charge look like for those without benefits and when we don’t incur the cost to bill the third party?
Ask the Expert Answer: Staffing Ratio for Primary Care Practice
Is there data available on the ideal staffing ratio for a primary care practice?
Ask the Experts Answer: Charge Tickets
How long should we keep charge tickets in the ambulatory care setting?
Ask the Expert: Insurance Claim Standards
Q What are the healthcare industry standards for the number and dollar amount of insurance claims worked for a collector per day, week, and month? A Unfortunately, there are no industry standards or KPIs available at this time. However, providers
Ask the Expert: Getting Staff to Embrace Bedside Registration
Advice for revenue cycle leaders on getting hospital staff to adopt bedside registration or workstations on wheels.
Ask the Expert: Patient Access Productivity Standards
A list of patient access productivity standards for revenue cycle leaders.
Ask the Expert: CMS Statements for Medicare Patients
States--not CMS--have regulations in place related to timely patient notification of the availability of financial assistance/charity, as well as a statement that includes a summary of charges.
Ask the Expert: Patient Price Estimation
Advice for revenue cycle leaders on HFMA and online resources for determining patient price estimation.
Ask the Expert: Patient Responsibility Estimation
Advice for revenue cycle leaders on approaches for estimating patient responsibility.