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In this guest post, Shawn Yates, director of healthcare product development at a software company, offers three ways hospitals and healthcare providers can keep patients happy, stay compliant and collect revenue without sacrificing care. Providers are looking at near impossible pressures to keep margins positive while producing the same high quality patient care.
Patient satisfaction The most important mission for most healthcare providers is to provide the best care possible to patients. Providers should rely on a centralized platform, particularly in this era of growing patient self-pay, to carry out essential patient satisfaction functions.
Segmenting accounts through a centralized platform allows providers to use contact management technology and multi-channel data to personalize patient information. Combining data from all available sources seems like an easy task, but with the complexities of many providers, it can be impossible.
A centralized platform creates a more accurate information source, fewer bills to the patient, and a singular, positive experience for patients, lowering their stress. The majority of healthcare expenses tends to be unexpected.
Because of the unexpected nature, many patients struggle to pay their full medical expenses. Internal process betterment As mentioned above, siloed information can create numerous issues for patients.
However, it can also cause plenty of pains for internal staff members, such as lower productivity, slower response time and time to reimbursement, as well as an increase of insurance claim denials. Clerical errors can, understandably, become more commonplace with overworked administrative workers in healthcare.
Staff members have to work just as hard often with fewer available resources. By automating many of these more routine processes, staff members can lower their risk for human errors and better focus their time on more challenging accounts and cases.
Claims and remittance technology that requests information without manual input is already used. By this simple implementation, providers are seeing major benefits in accuracy, efficiency and reimbursements. Automated claims status activity can also generate exception-based workflows that offer their own set of benefits.
Detailed work processes can raise productivity and quality assurance, encouraging smarter work over harder work. Those processes include combining disparate key claim adjustment reason codes into subcategories to assist with follow-up, and using it in dashboards and other reports to hone in and solve potential problems before they actualize.
This helps staff boost productivity and drive the best, most informed business decisions. Staying compliant Regardless of the centralized platform or technology you choose to implement, it must stay compliant with federal and industry regulations.
One of the best ways to make sure the technology implemented provides both workforce productivity improvements and keeps the provider fully compliant is with dedicated personnel. These staff members will train and continuously check the pulse of customer service staff. Providers, during revenue recovery processes, have to adhere to many regulations.
Thorough compliance audits with annual reviews, allow accurate reporting to executive level leadership. It also means providers can focus on areas of improvement, while also ensuring the necessary processes and personnel are in place, making sure the technology can start immediately solving issues.
To provide top-tier care to patients, facilities need to recover revenue. One of the best ways to do so is implementing the latest technology available. Hospitals and their providers need to be one step ahead, using the best available options to streamline workflow, satisfy patients and maintain compliance.
With those tools, they can provide the best care keeping patients, and their bottom lines, healthier. Shawn Yates is the director of healthcare product development at Ontario Systems.About Sportswise. Sportswise is a specialist private clinic for the treatment of sports injuries and musculoskeletal problems.
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