Hospitals and health systems are constantly looking for ways to improve revenue cycle performance when it comes to Medicaid managed care plans. One area of potential improvement involves financial clearance processes.
Jeff Means and Sara Roberts of Colburn Hill Group: Coordinate with managed care contracting and put together a detailed list of the managed Medicaid plans that are contracted with your health system and the associated plan codes to select during registration. Build a training package outlining which payers are contracted, what their insurance cards look like and what services require special attention. This list needs to be maintained quarterly at a minimum.
To learn more about Medicaid managed care, access this story from Becker's Hospital Review.
If you would like to share your RCM best practices, please email Kelly Gooch at kgooch@beckershealthcare.com to be featured in the "RCM tip of the day" series.
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