How do you leverage technology to improve patient access?
Patient access is the process of ensuring that patients can easily access the care they need, when they need it, and at a reasonable cost. It is a crucial component of revenue cycle management (RCM), which is the system of managing the financial aspects of healthcare delivery. In this article, you will learn how to measure and improve patient access performance in the context of RCM, and how to leverage technology to achieve your goals.
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Kelly RaffelSenior Manager at Coker Group
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Pranav ShindeStrategic leader | Maximizing Client's Revenues | Healthcare Business Growth | RCM Process Automation | Project…
Patient access performance is the quality and efficiency of the services that facilitate patient access to care. These services include scheduling, registration, verification, authorization, collections, and referrals. Patient access performance affects patient satisfaction, clinical outcomes, and revenue generation. Poor patient access performance can lead to delays, denials, errors, and lost revenue.
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Online Appointment Scheduling: Implementing an online appointment scheduling system allows patients to book appointments conveniently through a website or mobile app. This eliminates the need for phone calls and enables patients to schedule appointments at any time, reducing wait times and improving access to care.
Patient access performance is important for RCM because it impacts the entire revenue cycle. It determines the accuracy and completeness of the patient information that is used for billing and reimbursement. It also influences the patient's willingness and ability to pay for their care. By improving patient access performance, you can reduce the risk of claim rejections, denials, and bad debt. You can also increase patient loyalty, retention, and referrals.
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Efficient patient access processes ensure that patients are scheduled promptly for appointments, tests, and procedures. This results in timely delivery of healthcare services, enabling the organization to bill for services rendered promptly and accelerate revenue capture.
In order to measure patient access performance, organizations should use key performance indicators (KPIs) that are tailored to their goals and objectives. Common KPIs for patient access performance include appointment availability (the percentage of appointments that are available within a certain time frame), appointment utilization (the percentage of appointments that are booked and attended), pre-registration rate (the percentage of patients who are pre-registered before their visit), verification rate (the percentage of patients who have their insurance and eligibility verified before their visit), authorization rate (the percentage of patients who have their services authorized before their visit), point-of-service collections (the amount of money collected from patients at the time of service), and referral conversion (the percentage of referrals that result in scheduled appointments).
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Measure the average time it takes for patients to get an appointment from the time of request. This includes both the time it takes to schedule the appointment and the actual wait time until the appointment date
In order to enhance patient access performance, you should implement strategies that target the root causes of inefficiencies and errors. Streamlining workflows and processes, automating tasks and reminders, training and empowering staff, engaging and educating patients, and monitoring and evaluating results are all common strategies. Simplifying and standardizing steps and tasks involved in patient access, using technology to automate repetitive and manual tasks, providing staff with the skills, tools, and incentives to perform their roles effectively and efficiently, communicating with patients about their expectations, responsibilities, and options, and providing them with resources and support are all important aspects of these strategies. Additionally, tracking and analyzing the data and feedback from your KPIs, staff, and patients is essential for making adjustments as needed.
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-Establish specific patient access metrics and targets, such as new patient appointment lag days and third next available appointment; identify tactics to achieve goals and measure progress -Adopt patient access policies and procedures, along with standardized scheduling templates and algorithms, and follow consistently -Quantify the number of staff "touches" required for each completed appointment by calculating the sum of the total number of no shows, rescheduled, cancelled and completed appointments divided by the number of completed appointments to determine staff efficiency; take steps to reduce as appropriate
Technology can be a key factor in improving patient access performance, by increasing the quality, speed, and convenience of services. For example, online scheduling permits patients to book, modify, and cancel appointments at any time and from any device. Patient portals provide secure access to health records, test results, prescriptions, and bills online. Additionally, telehealth enables patients to access care remotely via video, phone, or chat; this reduces travel time and costs. Artificial intelligence uses algorithms and data to optimize scheduling, predict demand, and personalize care. Blockchain creates a secure network of data that can improve the accuracy and transparency of patient information and transactions.
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Adopting a medical billing software- Q secure Despite best efforts, traditional methods we relied on were unable to cope with increasing intricacies of medical billing. The healthcare industry's rapid changes demanded an agile and technology-driven approach for our Medical billing team. It was evident that sticking to conventional methods not only hampered our efficiency but also jeopardized patient access to timely & accurate billing information. Recognizing the need for a transformation, in 2022 we spearheaded the integration of cutting-edge billing software Q- secure into our processes. With help of automation & digitization through Q-Secure, we streamlined workflows, reducing errors & improving the speed of claims processing.
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