Patient Access Services— download pdf

BESLER Consulting has assisted numerous clients to renovate their patient access departments by training staff, developing productivity tools and establishing procedures to capture essential patient information. BESLER Consultants also possesses the industry expertise to convert previously written-off self-pay accounts into cash. The Besler team will assist your organization to develop more efficient departmental protocols and work with staff to strengthen communication between disparate revenue cycle team members.

 

Our Services Include:

• Charity Care & Compassionate Care Audits – Assess the current processes in place on how your institution identifies patients that qualify for Charity or Compassionate Care discounts. The audit will review internal policies and procedures in place to determine how accurately your institution is in compliance with state and federal guidelines, qualification process and levels of discounted services, communication process and how accounts are accurately resolved with the purpose of reducing accounts that result in bad debt.

• Comprehensive Operational Assessments – This assessment is a complete review of your organizations Patient Access Department. The review encompasses a full evaluation of front end policies and procedures, staff interviews,  denial avoidance, Q/A audits, POS Reviews and Charity Care audits to determine how aligned your institution is from best practices and then establish an action plan to better serve your hospital
• Denial Avoidance – Assesses the percentage of denials that stem from Patient Access and Registration departments. Once trends are established staff education and streamlined processes will be developed to reduce the amount of avoidable denials.

• Q/A Audits – This assessment is a review of the processes in place for insurance verification, eligibility, and pre-screening purposes. A full evaluation of the staffing mix, organizational structure, policies and procedures will be assed with the intention of improving productivity and reducing denials from registration departments.

• Point of Service (POS) Reviews – This review evaluates the current procedures in place at patient registration departments including the Emergency Department for collection patient co-pays, deductibles and coinsurance amounts. Manual, electronic and organizational protocols with be assessed with the intention of increasing POS collection ratios and reducing Bad Debt write-offs.