decisionhealth Newsletters, Part B News - 2017 Issue 11 (November)
Prepare to counsel and collect from more patients as uninsured rate goes up
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Article Overview
This article explains how changes in insurance coverage may affect medical practices and their billing workflows. It focuses on general operational guidance for handling more self-pay patients, including payment collection approaches, financial counseling, payer-related policy considerations, patient outreach, and last-resort termination issues. The piece is aimed at practice managers, billing staff, and providers responsible for revenue cycle and patient communication.
Why This Topic Matters
Rising uninsured rates can increase self-pay volume and create new demands on scheduling, billing, counseling, and policy enforcement. Practices that prepare in advance may improve collections, reduce confusion, and manage patient relationships more effectively.
Article Sections
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Preparing for more uninsured patients
Introduces the trend toward higher uninsured rates and explains why practices should anticipate more self-pay patients. It frames the operational and financial impact on offices and revenue cycle workflows.
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Make payments easy
Covers broad patient-payment accessibility concepts and the importance of making it easier for patients to pay. The section discusses general payment channel considerations for practices.
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Take a deposit
Describes the idea of collecting money up front from patients without coverage and considering deposits in relation to the type of care. It focuses on collection workflow and practice policy planning.
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Offer financial counsel
Discusses using financial counseling support to help patients understand payment responsibilities and work through payment arrangements. It also notes staff training and internal coordination needs.
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Can you discount?
Addresses general considerations around whether a practice may reduce charges for certain patients. The section refers to variability based on coverage status and state-level issues.
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Should you reach out?
Looks at whether and how practices might contact patients who may be avoiding care because of coverage concerns. It also touches on public-facing communication channels and retention-related outreach.
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Letting them go
Reviews last-resort considerations when patients cannot or will not pay and the broader legal and reputational risks involved. It also mentions the role of patient acknowledgment forms.
What You Will Learn
- How rising uninsured rates can affect medical practice operations
- Ways practices may make patient payment processes more accessible
- General considerations for deposits and payment plans
- The role of financial counseling in self-pay management
- Broad issues related to discounts, outreach, and termination policies
Who Should Read This
- Physician practices
- Practice managers
- Billing and revenue cycle staff
- Financial counselors
- Healthcare administrators
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