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EMSWorld – March 2018 An impending Medicare card change will present new billing and reimbursement challenges for all healthcare providers—not just emergency medicine. Beginning April 1, 2018, CMS is removing social security numbers (SSNs) from the Health Insurance Claim Number (HICN) of over 150 million Medicare recipients, including approximately 60 million active Medicare patients. FULL ARTICLE »
EMSWorld – September 2017 When it comes to EMS billing, no two providers are alike. Cookie cutters don’t exist in the ambulance industry—each business is unique. For example, even though there are five main commercial healthcare insurance payers across the U.S., each state and region reports nuances in coverage, processes, requirements and reimbursement rules.
RCM Answers – April 2017 To stem the rising tide of bad debt accounts and the productivity loss physicians face when trying to manage them, providers are exploring new ways to streamline the entire process.
American Ambulance Association blog – April 2017 Finding fast, efficient ways to verify demographics and discover insurance coverage for patients.
HFMA Revenue Cycle Strategist – April 2017 IT Common front-end hurdles wreak havoc for back-end EMS staff efficiency.
Healthcare IT News – March 2017
IT Vendors are helping providers make inroads toward better engagement by targeting their tools toward specific episodes and encounters across the care continuum.
Becker’s Hospital CFO – November 29, 2016
Patients are taking on more of the healthcare cost burden as high deductibles increase in popularity. Given this trend, hospitals and health systems continuously strive to improve patient communication and collections, as well as reduce costs
Page Wolfbert & Wirth – November 10, 2016
Commercial insurance- once a bright spot in EMS billing because of simplified claims processing and higher payment rates- has become increasingly complex. Coverage, claim submission requirements, and payment rates are different for every payer which means there is no one size fits all approach to commercial insurance.
HCPro – September 1, 2016
The cost of healthcare is quickly rising across the nation, and patients are shouldering the majority of the price increases through higher deductibles and out-of-pocket expenses as expenditures continue to shift from employers to patients
Health Data Management – August 12, 2016
Revenue cycle management for emergency medical services (EMS) providers can be summed up in one word: retroactive.
Revenue Cycle Advisor – July 25, 2016
The cost of healthcare is quickly rising across the nation and patients are shouldering the majority of the price increases through higher deductibles and out-of-pocket expenses as expenditures continue to shift from employers to patients.
When it comes to the healthcare space, the term “big data” may seem needlessly redundant. After all, each and every patient generates a staggering amount of information each second they’re in the clinical setting.
Journal of AHIMA – March 2016
Healthcare Finance News – March 16, 2016
Hospitals are increasingly turning to credit checks to determine both an individual’s ability to pay and to mine data on their patients’ population health.
Becker’s Hospital CFO – January 4, 2016
As patients shoulder a greater financial burden of healthcare costs, care providers are becoming more interested in assessing a patient’s ability to foot the bill. Falling reimbursement rates at healthcare systems have revenue cycle service providers examining new ways to assess and deliver on payment likelihood.
Becker’s Hospital CFO – December 30, 2015
The latest DME prior authorization rule has some healthcare experts furrowing their brows, concerned the regulation’s focus on cost control may come at the expense of efficient patient care.
Becker’s Hospital CFO – December 22, 2015
The healthcare revenue cycle is just beginning to feel the effects of consumerism as employers, providers and patients focus on containing healthcare costs.
Emergency Department Practice Management Association
In an era of high deductible health plans (HDHPs) and skyrocketing copayments, patients-and sometimes their providers-oftentimes bear the brunt of rising healthcare costs. In fact, one could argue that the notion of “self-pay” is no longer specific to those without insurance. That’s because patient financial responsibility is at an all-time high even for those who are technically insured.
Hospital EMR and EHR – July 2, 2015
In emergency medicine, most providers know this to be true: medical triage and rendering healthcare services is often the easy part. Financial clearance and obtaining payment is the challenge. This is particularly relevant in light of the Emergency Medical Treatment & Labor Act (EMTALA) that ensures public access to emergency department (ED) services regardless of one’s ability to pay.
The ability to collect payment from patients has changed dramatically with the recent proliferation of high deductible health plans (HDHPs). Increased deductibles mean more revenue cycle challenges.
Don’t Let Self-Pay Collections Slip Through Your Fingers: Three New Strategies to Consider
Bloomberg BNA – September 23, 2015
A decade ago, most organizations defined self-pay patients as those who presented for healthcare services without proof of insurance coverage. Fast forward to today’s post-Affordable Care Act (ACA) environment and you’ll be hard pressed to find many organizations that still use this definition. Why?
LAS VEGAS—Oct. 19, 2017— Payor Logic, a patient receivable and insurance discovery company for healthcare providers, proudly announces the availability of a fully integrated insurance discovery portal to expedite up-front verification processes for billing offices. The announcement was made by Ted Williams, Principal, Payor Logic, during today’s EMS World Data and Technology Summit, where the company is a sponsor, and its client, REMSA EMS, is presenting on “Ramping Up Your Revenue Cycle Efforts.” FULL PRESS RELEASE »
May 10, 2017 – ZOLL® Medical Corporation’s Data Management division and Payor Logic announced today a cooperation to help EMS agencies simplify the EMS billing process and optimize revenue through a new solution called RescueNet® Billing Pro.
TriCap Technology Group and Payor Logic Partner to Deliver a Single Point of Access Patient Receivables Solution for Healthcare
March 29, 2017 – Today, TriCap Technology Group, LLC and Payor Logic, Inc., combined their technologies to deliver the market’s most streamlined patient receivables solution through a single point of access for the healthcare market.
August 5, 2015 – Georgia Ambulance Service Provider Finds Insurance Coverage for Self-Pay Patients
March 24, 2015 – Owen serving as Co-chair of Quality, Coding and Documentation Committee for Emergency Department Practice Management Association
Real-time insurance discovery and verification services eliminate lags, expedite claims and achieve 30 percent greater staff efficiency for EMS provider
Improvement in staff efficiency for insurance verification
Breaking through return mail and uncovering self-pay patient resources
Propensity to pay improves collections