Ask the Experts: Billing Staff Metrics
What are the standards for biller activity and productivity?
Ask the Expert: Paying Patient Premiums
Do anti-kickback laws preclude providers from paying premiums for uninsured patients, specifically for the health insurance marketplace plans?
Ask the Expert: Benchmarks for CAH Lab FTEs
Are there benchmarks for critical access hospitals with respect to the number of FTEs in the Laboratory department based on volume of tests processed?
Ask the Expert: Changing the FY End
What fiscal year calendar do hospitals tend to follow (e.g., January-December)? What are the benefits and hassles associated with various fiscal year ends?
Ask the Expert: Rebilling Denials
What is the benchmark for number of days for rebilling after claims have been denied or rejected?
Ask the Expert: Staffing Benchmarks
I am looking for staffing benchmarks for the Patient Accounting area: number of accounts/per FTE and number of hours per account
Ask the Expert: Real-Time Coding Scrubber
This Revenue Cycle Forum Ask the Expert question asks if there is a real-time coding scrubber option out there.
Ask the Experts Answer: Cost-to-Collect Calculations
Q: We are basing staffing decisions on your benchmark of 2% of collections for cost-to-collect. Would you explain how you arrived at this percentage? We would like to obtain the facts and background that went into that research since it will be utilized at our facility for important decisions.
Ask the Experts Answer: Urgent Care Center
Q: We are opening an urgent care center that will be hospital-based. 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: Provider Refunds for Insured Patients
Q: Do you know of any policy/legislation or general practices regarding a provider refunding a payer if the patient was authorized but then later found by the payer to be uncovered because they are secondary?