Go offline with the Player FM app!
#22 - Payment Delays Impacting the Industry as a Whole
Manage episode 317305998 series 2917757
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”
Join the Conversation
We want to hear from our RevDivers! Tell us what topics and people you’d like us to cover in future episodes:
- Website - Facebook - LinkedIn - Twitter - YouTube
Follow our hosts on LinkedIn:
Taya https://www.linkedin.com/in/tayamoheiser/
Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/
Sponsored by: ABILITY Network
47 episodes
Manage episode 317305998 series 2917757
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”
Join the Conversation
We want to hear from our RevDivers! Tell us what topics and people you’d like us to cover in future episodes:
- Website - Facebook - LinkedIn - Twitter - YouTube
Follow our hosts on LinkedIn:
Taya https://www.linkedin.com/in/tayamoheiser/
Kem https://www.linkedin.com/in/kem-tolliver-bs-cmpe-cpc-cmom-1225b115/
Sponsored by: ABILITY Network
47 episodes
All episodes
×Welcome to Player FM!
Player FM is scanning the web for high-quality podcasts for you to enjoy right now. It's the best podcast app and works on Android, iPhone, and the web. Signup to sync subscriptions across devices.