Investigating Reimbursement Issues
By Jeanne Lugli, General Manager
Healthcare Automation Reimbursement Services
It’s a common problem: you provide services, you send out bills, but your cash flow is stalled. You need to determine the root of the problem, but you don’t know where to start. Sometimes, a good old-fashioned investigation is needed – one where you can systematically rule out (or discover) reasons for your organization’s reimbursement issues.
At Healthcare Automation’s Reimbursement Center, our consulting staff often works as an investigative team, searching for clues about why billing offices experience difficulties collecting and where those difficulties are based. We look at everything: reports, history, conversations with staff. You never know where you’ll find the issues.
The key is to have a plan. Trends and issues can best be determined if the scrutiny is methodical and doesn’t miss any steps. Over our many years in home infusion reimbursement, we’ve developed a checklist that helps us focus on each potential issue. If you’d like to conduct an investigation on your own, feel free to download our checklist. If you think your organization can benefit from an outside analysis, consider contracting the Healthcare Automation team for a consulting assignment. We’d be happy to help.
Click on the Article PDF below for a detailed checklist we use at the Healthcare Automation Reimbursement Center to investigate reimbursement issues.