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Service 6

Patient Access problems typically stem from deficiencies that occur in a number of areas, including education, training, staffing levels and workflow. Computer software may also present challenges for the staff. Inaccuracies in the gathering of demographic and financial information can result in a lack of data integrity, incorrect billing information, cash collections delays and inappropriate delinquencies.

Each deficiency must be addressed as part of a coordinated solution necessary to obtain long-term goals and improvements.


Our approach to the solution

Our first step towards resolving any operational deficiency will begin with a complete analyze of current procedures. This analysis is necessary to establish baseline measurements of work flow beginning with the Patient Access areas through claim submission and patient billing. This measure will also supply necessary documented information to establish increased performance and benchmarks. All components of this analysis is performed on site with management guidance.

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 obtained 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, and 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

The ultimate satisfaction of our clients is a requirement of our corporate objective.

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