Paul Barr
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Senior editor for HFMA, opinions are my own.
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Articles
From data capture to denial prevention: Strengthen patient access upstream
Revenue loss is often discovered after adjudication, but the conditions that created it may have entered the account days or weeks earlier. An outdated coverage record, missing authorization or unresolved identity mismatch can pass through patient access and surface only when payment is delayed. By then, the organization is managing rework rather than preventing it. For hospital and health system leaders, patient access should therefore be treated as more than a registration function.
Patient matching bill could save $2.5M per hospital
Support is growing in Congress and in the industry to enact a national patient matching framework that would save billions of dollars in denied claims for hospitals and health systems. Most recently, two U.S. Senators, Mark Warner (D-Va,) and Jim Banks (R-Ind.), introduced the MATCH IT Act, a companion bill to House Bill HR 2002, which was introduced by Rep. Bill Foster (D-Ill.) and Rep. Mike Kelly (R-Pa.). The aim of the bill is to help reduce or eliminate overlaid records and duplicate records.
TEAM could cost most participating hospitals millions, analysis finds
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