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POS EMERGENCY DEPARTMENT COLLECTIONS. BRUCE SCHELLER, CPAM SOUTH FLORIDA AAHAM – PRESIDENT NATIONAL AAHAM CH. DEVELOPMENT CHAIR APPLE MEDICAL SERVICES – EVP BSCHELLERAPPLE@AOL.COM. CHANGING THE CULTURE OF THE COMMUNITY. “NOBODY EVER ASKED ME FOR MONEY”. OBJECTIVES Identifying true F/C
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POS EMERGENCY DEPARTMENT COLLECTIONS BRUCE SCHELLER, CPAM SOUTH FLORIDA AAHAM – PRESIDENT NATIONAL AAHAM CH. DEVELOPMENT CHAIR APPLE MEDICAL SERVICES – EVP BSCHELLERAPPLE@AOL.COM
CHANGING THE CULTURE OF THE COMMUNITY “NOBODY EVER ASKED ME FOR MONEY”
OBJECTIVES • Identifying true F/C • Self Pay • Medicaid • UCC • Tracking/Reporting • Psychology of Collecting
RESULTS OF A WELL THOUGHT OUT PLAN AND PROCESS • Increase ED collections • Increase Patient Satisfaction • Increase Community Awareness • Increase Clinical Participation • Reduce Accounts moving to Bad Debt • Getting Signatures while patient still in-house
CHAMPION THE CAUSEADMINISTRATIONREGISTRATION/PATIENT ACCESSPFS DEPARTMENTDOCS & NURSESSECURITYVOLUNTEERS WE NEED THE BUY-IN FROM ALL DEPARTMENTS! STRATEGIC AND COORDINATED EFFORT!
UTILIZING TOOLS AND RESOURCES • STAFF TRAINING • INSURANCE VERIFICATION • DATA SCRUB OF STATE DATABASES • HOSPITAL COMPUTER SYSTEM NOTES • PATIENT QUESTIONAIRE
TRACKING & COLLECTION REPORTING • Number of Patients seen • Number of Patients with amounts due • Number of Patients with no money due • Number of Patients paid • Co-pays & Self Pay amounts due • Co-pays & Self Pay amounts collected • Totals
STAFF COLLECTION LOGS Employee name and date Account number Patient name C/P or S/P Amount due Remarks Amount Collected ED or Medicaid
SCRIPTING & FOLLOW-UPDESIGN PROPER TALK-OFFLETTERS FOR EACH SCENARIOBI-LINGUAL LETTERSBUSINESS CARDS“NOT A FINAL BILL” STAMPDOCUMENTATION ON SYSTEMRECONCILE – Receipts, money, credit cards, logs, notes, etc.
PSYCHOLOGY OF COLLECTING • RESPECT • COMPASSION • UNDERSTANDING • COMMONALITY • EMPATHY • HONESTY • FLEXIBILITY • CARING
WHY IS THIS IMPORTANT? • 50% of hospital Bad Debt originates from the ED • 20% of all ED patients are uninsured • Under-Insured population fastest growing segment of those visiting the ED • Low-premium/high deductible plans forcing people to gamble with their healthcare • Up-front collecting accelerates cash flow and decreases bad debt • Resources provide for new ED equipment and increased funding for additional clinical staff