POS EMERGENCY POS EMERGENCY DEPARTMENT DEPARTMENT COLLECTIONS COLLECTIONS BRUCE SCHELLER, CPAM BRUCE SCHELLER, CPAM SOUTH FLORIDA AAHAM – PRESIDENT SOUTH FLORIDA AAHAM – PRESIDENT NATIONAL AAHAM CH. DEVELOPMENT CHAIR NATIONAL AAHAM CH. DEVELOPMENT CHAIR APPLE MEDICAL SERVICES – EVP APPLE MEDICAL SERVICES – EVP [email protected][email protected]
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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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POS EMERGENCY POS EMERGENCY DEPARTMENT DEPARTMENT COLLECTIONSCOLLECTIONS
BRUCE SCHELLER, CPAMBRUCE SCHELLER, CPAM
SOUTH FLORIDA AAHAM – PRESIDENTSOUTH FLORIDA AAHAM – PRESIDENT
NATIONAL AAHAM CH. DEVELOPMENT CHAIRNATIONAL AAHAM CH. DEVELOPMENT CHAIR
APPLE MEDICAL SERVICES – EVPAPPLE MEDICAL SERVICES – EVP
CHANGING THE CULTURE OF CHANGING THE CULTURE OF THE COMMUNITYTHE COMMUNITY
“NOBODY EVER ASKED ME FOR MONEY”
OBJECTIVES1. Identifying true F/C
• Self Pay
• Medicaid
• UCC
2. Tracking/Reporting
3. Psychology of Collecting
RESULTS OF A WELL THOUGHT RESULTS OF A WELL THOUGHT OUT PLAN AND PROCESSOUT 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-Getting Signatures while patient still in-
househouse
CHAMPION THE CAUSECHAMPION THE CAUSEADMINISTRATIONADMINISTRATIONREGISTRATION/PATIENT ACCESSREGISTRATION/PATIENT ACCESSPFS DEPARTMENTPFS DEPARTMENTDOCS & NURSESDOCS & NURSESSECURITYSECURITYVOLUNTEERSVOLUNTEERS
WE NEED THE BUY-IN FROM ALL DEPARTMENTS!
STRATEGIC AND COORDINATED EFFORT!
KEEP THE VALUE OF YOUR KEEP THE VALUE OF YOUR RECEIVABLESRECEIVABLES
UTILIZING TOOLS AND UTILIZING TOOLS AND RESOURCESRESOURCES
STAFF TRAININGSTAFF TRAINING INSURANCE VERIFICATIONINSURANCE VERIFICATION DATA SCRUB OF STATE DATABASESDATA SCRUB OF STATE DATABASES HOSPITAL COMPUTER SYSTEM NOTESHOSPITAL COMPUTER SYSTEM NOTES PATIENT QUESTIONAIREPATIENT QUESTIONAIRE
• 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
STAFF COLLECTION LOGSSTAFF COLLECTION LOGS
Employee name and dateEmployee name and dateAccount numberAccount numberPatient namePatient nameC/P or S/PC/P or S/PAmount dueAmount dueRemarksRemarksAmount CollectedAmount CollectedED or MedicaidED or Medicaid
SCRIPTING & FOLLOW-UPSCRIPTING & FOLLOW-UP
DESIGN PROPER TALK-OFFDESIGN PROPER TALK-OFFLETTERS FOR EACH SCENARIOLETTERS FOR EACH SCENARIOBI-LINGUAL LETTERSBI-LINGUAL LETTERSBUSINESS CARDSBUSINESS CARDS“NOT A FINAL BILL” STAMP“NOT A FINAL BILL” STAMPDOCUMENTATION ON SYSTEMDOCUMENTATION ON SYSTEMRECONCILE – Receipts, money, credit RECONCILE – Receipts, money, credit cards, logs, notes, etc.cards, logs, notes, etc.
50% of hospital Bad Debt originates from the ED50% of hospital Bad Debt originates from the ED 20% of all ED patients are uninsured20% of all ED patients are uninsured Under-Insured population fastest growing Under-Insured population fastest growing
segment of those visiting the EDsegment of those visiting the ED Low-premium/high deductible plans forcing Low-premium/high deductible plans forcing
people to gamble with their healthcarepeople to gamble with their healthcare Up-front collecting accelerates cash flow and Up-front collecting accelerates cash flow and
decreases bad debtdecreases bad debt Resources provide for new ED equipment and Resources provide for new ED equipment and
increased funding for additional clinical staff increased funding for additional clinical staff