[PDF]0728 2 Show-Me Summer Conference_Self Pay...
7 downloads
123 Views
1MB Size
Connie Mihalevich, MS MU Health Care
Charity and Presumptive Charity In-house and Other Creative Financing Options Collections at Time of Service Early out Statements and Digital Communications ◦ ◦ ◦ ◦
Online Bill Pay Options Texts E-mails Paper Statements
Charity Care
Presumptive Charity Care
◦ Self pay and self pay after insurance eligible for consideration for hospital fees ◦ Based on income as percent of FPL and assets ◦ Paper application with supporting documents Applications available via in person, mailed or online (2nd billing statements includes 1-page application) ◦ Food stamp eligibility ◦ Certain Medicaid programs, such as Spenddown ◦ Certain other income limited assistance programs for the non-covered service (e.g., SMHW, MedZou grants)
Use of soft credit report
Implemented 12/2015 (batch file submission) to vendor. Based on estimated percent of FPL and/or soft credit check score Automated adjustment process for patient account based on set criteria for estimated income & score returned in response back from vendor Considered valid for 12 month period – have built in system to prevent repeated files sent
All patients still receive one billing statement, even if qualified.
Charity Care Adjustments
Increased collectability
◦ FY 2015 41%; bad debt write-off 59% ◦ FY 2016 72%; bad debt write-off 28%
of balances referred to agency by filtering out low propensity balances FY 2016 Bad Debt Write-off Closed as uncollectable
July – Dec
Jan - June
$6,314,090
$4,017,616
3,184
27
Optimistic that future collection fee will reduce due to more credible accounts referred
Budget plans up to 15 months interest free ◦ Exceptions allowed based on select criteria met
Use a pharmacy drug recovery vendor for self pay patients on high dollar drugs/treatments
Use a vendor for most Medicaid applications
Do not use a lending institution
Commercial insurance co-pays Self pay patients – deposit toward care; varies with clinic specialty Elective care services that are self pay for service (non-covered service) due in full pre-service ◦ Cosmetic ◦ Fertility ◦ Certain other surgical procedures with package agreements
Utilize vendor for Out-of-State Medicaid Billing/Follow Up (for past 2 years) ◦ Impacts: increased collection rate as a result seen timely filing deadlines reduce
Online bill pay options ◦ Patient Portal – recently implemented single sign-on for MUHC patients through MU Healthe portal for enhanced patient convenience.
IVR line for patient payment (Implemented 07/06/16) ◦ To-Date:
Processed 364 calls for hospital and 461 for physicians. Reduced Call Center abandonment rate 07/06/16 at 19.0% 07/22/16 at 11.5%
Texts – implemented 7/1/15 ◦ 156 patients enrolled to receive SMS texting ◦ 949 SMS text messages sent to-date.
E-mails - implemented 7/1/15 ◦ 458 patients enrolled to receive statements by email. ◦ 1,448 emails sent to date.
135 patients enrolled to receive both SMS texts and email
Paper Statements Sent ◦ FY 15 = 620,944 ◦ FY 16 = 665,825
