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 Expert Answer: Calculating Cost-to-Collect
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: 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: 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: 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.
Ask the Expert: Setting Industry Standards for Call Center Activities
Advice for revenue cycle leaders on how they should establish standards for call center activities based on their specific processes.