To receive accurate and complete payment from payers, healthcare organizations must ensure claims are sent in the first place.
Peter Angerhofer, principal at Colburn Hill Group: Payers are unlikely to send a check if you haven't sent a bill — look for all of the places a backlog of claims might be hiding. Focus effort on unbilled categories, particularly those within your control. Billing editor queues are a good place to start, but look at other places like Medicare return to provider reports, or claim form edits within the core system.
To learn more about claims, 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.
More articles on leadership and management:
9 must-reads for healthcare leaders this week
Scripps CEO Chris Van Gorder: 'Good' healthcare law 'will not come out of back room deals'
Mayo Clinic CEO: Medicare, Medicaid patients get same care as business leaders