Medical Lockbox
As noted here previously, the No Surprises Act — which is part of the Consolidated Appropriations Act introduced earlier this year — presents some formidable challenges to the healthcare industry. The No Surprises Act is so named because it is designed eliminate some of the surprises that group health plan participants encounter from unexpected charges, which most people will agree is certainly a needed solution. However, as reported at HealthcareDive.com, payers and hospitals are asking for more time to get their “ducks in a row” in preparation to meet the new requirements:
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Managing a pandemic was and is a challenge in any industry. Medical Economics recently examined the pressure COVID-19 put on medical practices and their administrative staff. Before COVID-19 struck, many healthcare providers were already nearing a breaking point from the stress of their jobs. Faced with a number of demands – evolving laws, regulations and standards; healthcare reform and changing payment policies; too many administrative tasks; balancing increased patient expectations as healthcare consumers with limited time for patient interactions – providers and their staff were already suffering burnout at record levels.
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Over the past year, our R&D team has delivered many enhancements to our OrboAccess and our Healthcare Payments Automation Center (HPAC) technology. One of the major enhancements offers the ability for users/clients to custom categorize correspondence letters — improving the efficiency of working denials.
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In case you missed it, over the past month, we have published incredible content on our OrboNation Blog and Modernizing RCM with AI. Review the latest OrboNation Newsletter online or via PDF download.
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The problem, to be specific, is unexpected bills and the ability of patients — now responsible for so much more out-of-pocket medical expenses — to pay. Physicians are finding themselves with a pile of unpaid bills that is growing by the month. To begin attacking this challenge, Mr. Colabella suggests “front-loading” expectations as much as…
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Some of the adjustments we’ve made in the era of COVID-19 have become familiar. It’s hard to imagine at this point, for instance, that there was a time when we didn’t know what a ZOOM call was. In fact, it’s now a fairly ubiquitous executive conceit to “prep” the home-office (or rec room) background when…
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Sheetal Nariani is an expert on blockchain technology who has worked for over a decade in the financial management sector within the healthcare and pharmaceutical industry, including pharmaceutical giants like Cipla and Novartis, and has advised multiple renowned companies in the healthcare and pharmaceutical sector on how to plan, develop, and execute their financial strategies.
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We’ve reported recently on the No Surprises Act and the necessity for taking steps to prepare for the resultant advanced EOBs. This is advice that nears repeating, as the deadline for implementation approaches. The Kaiser Family Foundation has a comprehensive overview of the No Surprises Act available here.
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Inside Marketer at eMarketer reports on a new survey from US Bank that was conducted on 1,113 US adults. The survey revealed that the pandemic spurred a surge in digital medical payments. Some of the figures they cited that in the last year, 44% of consumers paid their bill at the doctor’s office, 28% paid through an online portal, and 23% paid via a mobile app—but still, over 32%paid by mail, and 21% paid via phone.
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In case you missed it, over the past month, we have published incredible content on our OrboNation Blog and Modernizing RCM with AI. Review the latest OrboNation Newsletter online or via PDF download.
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