Access Management Quarterly: Learn how to improve account management
- Provide full-service financial counseling for inpatients, observation, and outpatients more than $1,000 or outpatients with multiple accounts (includes program approvals, payment arrangements, and insurance finds).
- Eliminate account handoffs from vendor to financial counselors, to PRVC, to patient accounts, to vendor.
- Use best practice self-pay management procedures, flowcharted for patient access and for vendor.
- Back-fill OhioHealth staffing resources with vendor.
- Manage all account handoffs to vendor.
- Stop patient shopping. Single self-pay discount policy followed by all entities.
- Financial counselors monitor account quality for all patient access and vendor accounts.
- Handoffs to vendor include: out-of-county patients, disabilities, illegal aliens, discharged patients, nights/weekends/emergency department patients that currently are missed, and all accounts still needing work after 45 days.
- All vendor contracts summarized into one OhioHealth document.
- Standardized eligibility pricing for all facilities.
- OhioHealth to "Authorization to Represent" documents signed at registration.
- Weekly/monthly meetings and reports from vendor.
- Quarterly review of vendor pricing structure written into contract.
- Expected results — overall net patient revenue increase through qualification of Medicaid or HCAP/charity.
Source: OhioHealth, Columbus.
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