Reasons to audit your lost revenue

November 24, 2021 7:13 pm

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According to a Medical Group Management Association [MGMA] survey conducted in April 2020, 90% of practices have suffered a financial loss as a result of the pandemic, either directly or indirectly. Since the beginning of the COVID-19 crisis, practices have reported a 55% decrease in revenue and a 60% decrease in patient volume.

Insurance denials and self-pay failures are two of the most common causes of revenue loss. Other causes include lost charges, missed payments, underpayments, and rework costs.  Providers who are having a tough time evaluating the root cause of lost revenue should evaluate their clinical documentation processes. This is becoming increasingly important as COVID-19 continues to harm the bottom line. 

As the country reopens, health professionals should have a proposal throughout the requirement to guarantee that they can collect payments more rapidly and manage those resources wisely. There is also a time to boost the end-user features to meet long-standing consumer demands for healthcare.

Here are the decisions you can apply to achieve your revenue cycle:

  • Automate as much as possible
  • Obtain funds more easily
  • Make more profits by increasing your payment channels.
  • Continue to increase your referral base
  • Reducing your claim denials

Automate as much as possible:

Make it simple to collaborate with your team and healthcare system. Using technology to automate simple behaviors and giving your patients the option of self-service completely changes how they interact with you. Embed links within online communications, for example, to enable one-click scheduling and to support your patients understanding of everything they need to prepare before attending your facility.

 

So here are a few examples of guiding principles for automatic payments:

  • Create an automatic payment strategy: The patient collection will improve if medical practice/hospitals set up an automatic payment with the patient’s reimbursement account. 
  • Train your employees on your policy: Give your employees the tools they need to enforce your policy positively and effectively.
  • Establish Controls Right Away: Allow patients to specify a maximum payable amount

Obtain funds more effortlessly:

Fast access to your funds is crucial during times of difficulty. Partner with a billing vendor who could provide you with increased funding to help you quickly understand receivables as revenue, and free up the funds. Knowing how to handle working capital can assist healthcare groups in conquering the financial peaks and troughs of business operations and making their money work for them.

The best way to handle your funds is getting advice from an expert, identifying your saving opportunities, and developing your cash flow.

Have a multiple channel payment:

Financing options are an excellent way for providers to be paid while also providing patients with the flexibility to manage their healthcare costs. Self-service payment plans provide patients with simple options for paying off a bill. Payment plans allow you to give patients control and convenience instead of directing them to a third party or sending multiple bills to collect a large balance.

Here are a few payments plans best practices:

  • Consider all of the ways you communicate with your patients and maximize non-human interaction points – such as your website, offerings, appointment reminder emails, and billing statements – to communicate flexible payment options to them. Let’s say for example – Transportation services for patients, instructions/videos for procedures, devices for remote monitoring, assisting with scheduling, including appointment reminders and navigation instructions.
  • Use AI to make smart payment plan recommendations to patients based on data. Work with a payment partner that uses AI and third-party data to recommend the best payment plan for your patients.
  • Report and Analyze: You should have complete visibility into payment plans as well as where patients stand with their payments. If a patient calls with a question, your staff can quickly access that patient’s plan and see exactly what the patient is seeing, as well as address any questions or concerns the patient may have.

Have a multiple channel payment:

Financing options are an excellent way for providers to be paid while also providing patients with the flexibility to manage their healthcare costs. Self-service payment plans provide patients with simple options for paying off a bill. Payment plans allow you to give patients control and convenience instead of directing them to a third party or sending multiple bills to collect a large balance.

Here are a few payments plans best practices:

  • Consider all of the ways you communicate with your patients and maximize non-human interaction points – such as your website, offerings, appointment reminder emails, and billing statements – to communicate flexible payment options to them. Let’s say for example – Transportation services for patients, instructions/videos for procedures, devices for remote monitoring, assisting with scheduling, including appointment reminders and navigation instructions.
  • Use AI to make smart payment plan recommendations to patients based on data. Work with a payment partner that uses AI and third-party data to recommend the best payment plan for your patients.
  • Report and Analyze: You should have complete visibility into payment plans as well as where patients stand with their payments. If a patient calls with a question, your staff can quickly access that patient’s plan and see exactly what the patient is seeing, as well as address any questions or concerns the patient may have.
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