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Abstract
Organizations that lack strong processes to educate patients and capture revenue are likely to experience negative financial consequences. [...]patient satisfaction and retention also can be adversely affected if those processes are not timely and patient-focused. "Because of all the potential variations, it is critical that patients understand that in many cases there is no way to exactly quote their out-of-pocket costs unless all parties agree on a fixed amount up front or with the simplest of benefit plans," Dauchot says. [...]it is imperative to continuously monitor plans to make sure they are on track. Tailored solutions include Medicaid eligibility and advocacy services; early-out, self-pay services; smalldollar insurance resolution; delinquent account collections; third-party liability and workers' compensation services; extended business office and insurance services; and physician billing and A/R resolution.