Improving collection rates among self-pay patients is a top concern for 94 percent of revenue cycle executives at health care providers, according to a survey published today by Health Care Finance News.
The sentiment was held among organizations large and small, for-profit and not-for-profit. HFN surveyed 173 senior-level finance and operations decision makers at U.S. non-profit and for-profit hospitals to help understand trends, challenges and plans associated with patient collections. The executives listed improving self-pay collections among their top three priorities.
Forty-three percent of respondents said the biggest challenge they face is that self pay accounts are growing faster than their organization can respond.
Another challenge is the rising cost of managing patient collections. “As patient payments expand, providers are experiencing a ‘perfect storm’ created through the combination of social changes, financial pressures and regulatory compliance requirements,” Neil Rouda, NFN Publisher said in a press release. “Our survey confirmed this point – healthcare providers are struggling to respond in patient-sensitive, cost-effective ways, given their fragmented business office and collection agency operations.”
According to the survey, revenue cycle management executives will be looking to technology and operational changes for solutions. Forty-seven percent said they plan to install new scoring and modeling technology to determine patient eligibility for charity care and for government programs. Of those, 30 percent plan to invest in modeling tools developed specifically for self-pay collections.
Thirty two percent of respondents said they plan to restrict or consolidate their collections operations. Eighty-one percent of those surveyed said they use third party agencies for self-pay collections to work primary bad debt. Only 25 percent said adding internal staff was a priority. The newsletter concluded that this indicated respondents view adding staff as a “less effective” solution going forward.
The survey was commissioned by Connance Inc. a patient revenue predictive analytics firm based in Waltham, Mass.
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Comment from BJones on September 15, 2009 at 6:07PM EST
Technology will, no doubt, play a major role in helping healthcare providers collect on self pay balances, before they go to collections. Many are beginning to utilize online collection tools, such as web payments and virtual collections. Others are employing self-service phone payment to further maximize patient convenience. To explore this for your facility, I would suggest speaking to Billing Tree, a market leader in online and IVR payment processing options.
Patient awareness is the key to success with any self-service payment option. All touch points should be aware of the payment options available to the patient, and should be able to relate those to each patient they come into contact with.