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POS EMERGENCY DEPARTMENT COLLECTIONS BRUCE SCHELLER, CPAM SOUTH FLORIDA AAHAM – PRESIDENT NATIONAL AAHAM CH. DEVELOPMENT CHAIR APPLE MEDICAL SERVICES –

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Presentation on theme: "POS EMERGENCY DEPARTMENT COLLECTIONS BRUCE SCHELLER, CPAM SOUTH FLORIDA AAHAM – PRESIDENT NATIONAL AAHAM CH. DEVELOPMENT CHAIR APPLE MEDICAL SERVICES –"— Presentation transcript:

1 POS EMERGENCY DEPARTMENT COLLECTIONS BRUCE SCHELLER, CPAM SOUTH FLORIDA AAHAM – PRESIDENT NATIONAL AAHAM CH. DEVELOPMENT CHAIR APPLE MEDICAL SERVICES – EVP

2 CHANGING THE CULTURE OF THE COMMUNITY NOBODY EVER ASKED ME FOR MONEY

3 OBJECTIVES 1.Identifying true F/C Self Pay Medicaid UCC 2.Tracking/Reporting 3.Psychology of Collecting

4 RESULTS OF A WELL THOUGHT OUT PLAN AND PROCESS Increase ED collectionsIncrease ED collections Increase Patient SatisfactionIncrease Patient Satisfaction Increase Community AwarenessIncrease Community Awareness Increase Clinical ParticipationIncrease Clinical Participation Reduce Accounts moving to Bad DebtReduce Accounts moving to Bad Debt Getting Signatures while patient still in- houseGetting Signatures while patient still in- house

5 CHAMPION THE CAUSE ADMINISTRATION REGISTRATION/PATIENT ACCESS PFS DEPARTMENT DOCS & NURSES SECURITY VOLUNTEERS WE NEED THE BUY-IN FROM ALL DEPARTMENTS! STRATEGIC AND COORDINATED EFFORT!

6 KEEP THE VALUE OF YOUR RECEIVABLES

7 UTILIZING TOOLS AND RESOURCES STAFF TRAINING STAFF TRAINING INSURANCE VERIFICATION INSURANCE VERIFICATION DATA SCRUB OF STATE DATABASES DATA SCRUB OF STATE DATABASES HOSPITAL COMPUTER SYSTEM NOTES HOSPITAL COMPUTER SYSTEM NOTES PATIENT QUESTIONAIRE PATIENT QUESTIONAIRE

8 TRACKING & COLLECTION REPORTING Number of Patients seenNumber of Patients seen Number of Patients with amounts dueNumber of Patients with amounts due Number of Patients with no money dueNumber of Patients with no money due Number of Patients paidNumber of Patients paid Co-pays & Self Pay amounts dueCo-pays & Self Pay amounts due Co-pays & Self Pay amounts collectedCo-pays & Self Pay amounts collected TotalsTotals

9 STAFF COLLECTION LOGS Employee name and date Account number Patient name C/P or S/P Amount due Remarks Amount Collected ED or Medicaid

10 SCRIPTING & FOLLOW-UP DESIGN PROPER TALK-OFF LETTERS FOR EACH SCENARIO BI-LINGUAL LETTERS BUSINESS CARDS NOT A FINAL BILL STAMP DOCUMENTATION ON SYSTEM RECONCILE – Receipts, money, credit cards, logs, notes, etc.

11 PSYCHOLOGY OF COLLECTING RESPECT RESPECT COMPASSION COMPASSION UNDERSTANDING UNDERSTANDING COMMONALITY COMMONALITY EMPATHY EMPATHY HONESTY HONESTY FLEXIBILITY FLEXIBILITY CARING CARING

12 WHY IS THIS IMPORTANT? 50% of hospital Bad Debt originates from the ED 50% of hospital Bad Debt originates from the ED 20% of all ED patients are uninsured 20% of all ED patients are uninsured Under-Insured population fastest growing segment of those visiting the ED Under-Insured population fastest growing segment of those visiting the ED Low-premium/high deductible plans forcing people to gamble with their healthcare Low-premium/high deductible plans forcing people to gamble with their healthcare Up-front collecting accelerates cash flow and decreases bad debt Up-front collecting accelerates cash flow and decreases bad debt Resources provide for new ED equipment and increased funding for additional clinical staff Resources provide for new ED equipment and increased funding for additional clinical staff

13 QUESTIONS?


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