Operational Assessments E-mail

The ChallengeImage

Patient Access problems typically stem from deficiencies in a number of areas, including education, training, staffing levels, workflow and/or poorly implemented computer software.  It creates an inaccuracy in the gathering of demographic and financial information, which results in a lack data integrity, incorrect billing information, cash collections delays and inappropriate delinquencies.

Our Approach to the Solution

Each deficiency must be addressed as part of a coordinated solution necessary to obtain long-term improvement. Our first step towards resolving the operational deficiencies will begin with analyzing all current processes and procedures. This is necessary to establish baseline measurements of a provider’s Patient Access performance; this also includes the development of applicable indices and benchmarks.

PF Concepts send an experienced Patient Access Specialist to your location to observe and analyze the functionality of department staffing, skills, processes and system usage.   After performing our analysis our staff will:

  • Create an implementation plan that will improve the quality of all critical data while increasing the staff’s productivity
  • Conduct a variety of in-depth discussions with all related management to understand concerns and establish the program objectives
  • Customized through collaboration, the review of all of the affected operations, including interviews with key management personnel responsible for the day-to-day oversight of the various Patient Access processes
  • Validate all critical information by the appropriate hospital personnel

All of these tasks are approached in a non intrusive manner; and the entire assessment should not take longer than four to six weeks, after PF Concepts has obtaining all necessary information.


Typical improvements include:

  • Increases in scheduling of all non-urgent patients
  • Adoption of pre-registration process for all non-urgent patients
  • Increases in the  pre-verification of insurance
  • Increases in the cash flow  due to significant increases in the Point of Service collections of insurance, co-pays, deductibles, all other non covered items
  • Greater accuracy and completeness of key and critical account information
  • Reduction of associated claim edits and processing denials
  • Improved patient convenience and satisfaction
 
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