#22 - Payment Delays Impacting the Industry as a Whole

RevDive

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2+ y ago 22:34

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Chances are, like the rest of the industry, you are seeing significant payer delays. In this episode, Sharon Smith, Practice Manager at Virginia Beach Surgery explains the impact of payer delays and how to tackle these issues with payers.

What you’ll get out of this episode:

How do untimely payments impact the revenue cycle?
The role that clean claims play and how to align payer contract language with state regulations
The role of the state insurance commissioner
Best practices to minimize payment delays

Quotables

“Practices need to understand what their contractual obligations are as well as state regulations. One thing that is a frustration is that there are so many caveats in the legislation that allow carriers to bypass”

“Payers should be mandated to say whether or not they are subject to the state regulations to give the claims processor and the practice an indication of whether they can be held accountable”

“Provider reps used to come to the office, we used to actually have reps assigned that we could communicate trends to. With the ways the world has changed we don’t have those deep relationships anymore with provider reps and that adds to the challenge”

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