Why Does Healthcare Post Patient Payments to the Oldest Balance Due????

There has been a lot of discussion in the news lately about how automation and “robots” are going to make our life easier by doing jobs that we don’t want to do. This is for everything from driverless cars to tax filing. While there are certainly some great things that can come from this I certainly hope that the trajectory of our current automation path takes hold quickly in the healthcare space as well.

In healthcare, there is automation in billing and the auto-posting of payments that dates back many years.  For a quick historical perspective the government designed the systems used today to automate the billing and auto-posting for insurance payments.  This system created a standard format for sending billing requests and then returned payment information.  In most cases that I have found, there is nothing "automatic" about the way patient billing is processed today.  There are still lots of manual steps that need to be taken to reconcile the money collected from the patients’ account. Without going into all the boring details there are still a significant number of processes that need to be completed in order to ensure that every patient payment is applied not only to the right account, but also to the specific service that was provided just like for insurance payments.

At the heart of the process, the patient is paying down a balance that they agree they owe and the practice or hospital has to manually figure out how to post the money collected.  Once the payment arrives then it is up to the billing person to determine where to apply these funds.  In the hospital’s instance it may be applied to a facility fee when the patient was really paying for their provider(s).  Then when a new bill is sent out to the patient stating they still owe for their providers things gets very confusing since they thought this bill had already been paid.  In a practice’s case funds might be applied to an older balance so the bill the patient thought was paid is now being billed again.  While this sounds like not a big deal it is magnified when a billing manager has to explain to the patient what they have and have not paid for.

Healthcare providers need automation that truly auto-posts payments back down to the line of service, date of service, and provider just like an insurance payment with the single click of a button not manual intervention. Why? Because not only will the billing group save a lot of time and money, but more importantly they will have more credibility when dealing with calls from their confused patients.

A recent report shows that 71 percent of patients whose bill aligns with their EOB from their insurance company will pay their bill right away.  Patients want to pay their healthcare bills while healthcare providers want to reduce costs, increase profitability and have a better patient experience.

Let’s make sure everybody gets what they want.

Come See PatientPay at AAHAM ANI 2018

PatientPay looks forward to seeing current and meeting new friends at AAHAM ANI 2018 in Bonita Springs, FL at the Hyatt Coconut Point this week. Please stop by our booth #304.

The American Association of Healthcare Administrative Management (AAHAM) is pleased to present the 49th Annual National Institute (ANI), “Your Ticket to Paradise.” This year’s Institute will be held October 17-19, 2018, at the Hyatt Regency Coconut Point in sunny Bonita Springs, Florida. The AAHAM ANI provides a synergistic environment where attendees network and discover the industry’s latest developments, products, services and resources. AAHAM members look forward to learning from industry experts about up-to-the minute hot topics, news and technologies to help them do their jobs better and provide the most innovative, efficient and expert level of performance. The AAHAM ANI offers three full days of networking, building brand awareness and generating quality leads. Based on your feedback, we have expanded the hours, offering you more time to meet attendees and to build quality personal relationships. Take advantage of this once-a-year opportunity to reach this concentrated group of professionals by reserving your booth at the AAHAM ANI. The AAHAM ANI offers you an audience of over 500 healthcare professionals…your prime prospects!

Why Specialists Patient Payments Should Be ‘Goin’ Mobile’

Forty-five years ago Pete Townshend, lead guitarist of the fabled rock band The Who, wrote these lyrics:

“...Out in the woods, or in the city, it’s all the same to me.

When I’m driving free, the world’s my home.

When I’m mobile…”

The song “Goin’ Mobile” expressed a young man’s desire to move about freely; allowing him to experience the world in which he was traveling.

According to the research firm Statista, Americans have already gone mobile, albeit in a different way than envisioned by Pete. More than 70 percent of the U.S. population will have a mobile smartphone by 2019 which is only a few months away. That’s more than two out of every three people carrying in their pockets devices that have millions more times the computing power of the guidance systems used by NASA to get men on the Moon and has graphics capabilities that make those of the famed Cray-1 Supercomputer laughable. They can even go toe to toe with IBM’s Deep Blue computer when it comes to number crunching ability.

Given that mobile technology is more than capable of handling complex tasks, readily available and often the preferred method of communication and information access, why aren’t we seeing broader adoption by the healthcare industry? The reason appears to be the continuing tendency by healthcare to not do anything unless it is forced to because of government pressure or regulatory requirement. Because if they were watching and listening to their patients (who are really customers) healthcare would quickly adopt to the changing landscape as almost every other industry does.

As a result, the way in which provider and patient can communicate digitally has been made more difficult. I’m not about to question the importance of patient information privacy. But I will point out that most healthcare portals, direct byproducts of Meaningful Use Stage 1, reflect software development from the 1990s, well before mobile was even on the radar. They are not mobile-friendly let alone user-friendly. There are a number of companies offering end-to-end email encryption but with user interfaces that match the clunkiness and UI of the portals that look like they were designed for Windows 3.1.

According to Research2Guidance, a market analysis firm, there are 100,000+ healthcare-related mobile apps available for download worldwide. The audience for these apps is approximately 85 percent consumer-focused and 15 percent for the healthcare professional. The consumer apps tend to focus on fitness and self-measurement of biometric functions along with nutrition tracking. The aim is to make health as personal and positive an experience as possible; hence the slow but sure rise of wearable technology.

These apps also bring the consumer health information curated by or for them. For healthcare professionals the apps offer remote access to information found in EHR systems that can be viewed daily, not yearly or quarterly as in the past. This real-time data allows doctors to be more proactive in their treatment and interactions with their patients.

Mobile digital health is growing rapidly, aimed at the consumer and operates like message services between the patient and the doctor to select or with whom there exists a relationship. The patient texts a message and medical counsel, within all appropriate privacy guidelines, is offered in reply. Some, like Doctor on Demand, can link a person to an urgent care physician or psychologist and deal face-to-face virtually from their mobile phones. Others, such as Derm on Demand, shorten the time between asking for an appointment and seeing a provider.

The reason such services are getting traction is they grasp the wants and needs of today’s very mobile patient population. Americans are impatient; they want to know about their health status right away. Suggesting they wait even a few days for test results does not get a good reaction; waiting weeks for an appointment just will not do. And telling them to log on to that kludgy ‘90s-style portal to hunt for information on outcomes or schedules infuriates them.

After all, they look to their mobile devices for everything else. And they’re doing so more and more. Newspapers’ savior may well be the mobile phone as digital circulation is replacing the old paper kind. Take a bus or train at rush hour and eyes are scanning the screens of mobile phones, not turning the pages of the morning gazette. KPCB, a Silicon Valley venture capital firm, notes 80 percent of all web searches are done from mobile phones and 51 percent of time spent with digital media is done via a mobile mobile. Internet Retailer reported that mobile ecommerce is growing three times faster than ecommerce overall.

Another data point from Internet Retailer I find especially intriguing is that 30 percent of all e-commerce purchases are now made on a mobile device. PatientPay latest reports show that more than 32 percent of bills being paid via its service are done on mobile phones. Three out of four patients using this service pay their bills immediately upon opening them, in part, because of this convenience.

That’s more than coincidental. Analyst and research firm Aite projects mobile-browser-based payments for healthcare will “explode” with a compound annual growth rate (CAGR) of 33% in the next year or so.

A credible argument can’t be made that the technology isn’t available to help reduce the crush in waiting rooms, improve the level and amount of preventative care available, save providers’ operating expense or make the bill-paying experience more along the lines of what healthcare consumers want.

The reason why healthcare isn’t doing more with mobile can be found in the results of a study conducted by The Economist’s Intelligence Unit surveying 150 healthcare leaders from both the public and private sectors.

When asked: Which of the following do you think are currently the biggest challenges for the health industry’s adoption of mobile health technologies? The respondents’ top three answers were:

  1. Institutional bias and conservatism within the healthcare establishment;

  2. The need to ensure patient privacy; and,

  3. Healthcare organizations are not sufficiently technologically sophisticated to be able to draw on mobile technology.

Considering all that goes on within a healthcare facility that uses state of the art technology, reason #3 seems hollow; an excuse not to make the effort. Citing privacy in context with mobile suggests either another empty excuse or a bewildering lack of knowledge as to the ability to maintain privacy in a wireless environment. The top reason, unfortunately, suggests that even the emperor realizes his nakedness. Those surveyed acknowledge they, seemingly, can’t get out of their own way.

If those in the industry opt not to answer this call, the mobile-enabled patient will ring up another provider who does.

PatientPay partners with First Data for payment gateway and statement printing

PatientPay now has a partnership with First Data for secure payment processing and cost-effective printing capabilities.

PatientPay clients will now have access to the First Data CardConnect ISV payment gateway, a highly secure way to process online and in-office payments. Specialty medical groups and RCM companies will benefit from competitive rates, full-transaction reporting and painless account activation.

PatientPay uniquely leverages easy-to-understand statements and digital billing to encourage patients to pay their bills quickly. In fact, we see a 70% click-to-pay rate on our digital statements. 35% of PatientPay bills are paid on a mobile phone and digital statements cost almost 4x less than a print statement—making them effective and cost-efficient.

As consumers continue to become bill payment omnivores—healthcare groups needs to keep pace by offering the ability to pay in-office and on mobile devices, using credit cards and checking accounts, over the phone and through the mail. PatientPay clients see collection rates 3x the industry average, while simplifying the entire billing process.

Ensuring the security of online patient payments is mission-critical to PatientPay and working with the First Data CardConnect ISV payment gateway is another way of secure payment processing to our specialty medical groups.

Digital statements are less costly and more effective than paper-based statements. However, there are times when print statements need to be used in the patient collections process. PatientPay will be supplement our current paper statement processing with access to First Data’s high-volume printing capabilities.

Want to know more about how PatientPay can increase your collections while driving down associated costs? Let's do a short demo!

Why Specialists need a Specialized Patient Payment Solution

In today's healthcare world, specialists are integral to many patients care. However, when it comes to patient billing, they are often one or two steps removed--and that can have real revenue impacts.

Radiologists and Laboratories, for example, often have an arms-length relationship with patients. That means that the patient is usually referred to them, but rarely develops a relationship with that radiology group or lab. When a bill arrives, patients are less likely to recognize the bill/provider and are less likely to pay.

To further complicate billing, often specialists are sent basic demographic data on patients during a referral, and not much more. Without thinking to capture information that most patients are happy to provide--such as email address--specialists may think they are unable to tap into the most cost-effective and timely billing method: digital.

So what's a specialist to do?

PatientPay has found that 75% of the telephone numbers provided by patients are actually mobile numbers. This allows specialty groups to use text as a digital touch point. And getting a mobile number is about more than just being able to send text statements. You also need to ensure all communications, and the ability to view and pay their bill, are optimized for a mobile phone. PatientPay has found that 33% of specialty group payments are made on a mobile device. Being Apple/Android device-agnostic is also important (though we have found the majority of patients are paying from an iPhone).

Lastly, make sure your bill is as simple and easy-to-understand as possible. Patients who understand their bill are more likely to pay--and pay quickly. Make sure that regardless of how you send the statement, that you offer the patient multiple ways to pay. People are bill payment omnivores now: they are comfortable using a variety of payment mechanism to pay various bills--at all hours of the day and night. 

If you'd like more information about how PatientPay can help increase your collections, while also reducing billing-related costs, let us know

Flexible Patient Payment Plans:
Driven by Ability to Pay

Propensity to Pay may not be the first thing to roll off your lips when you think about creating healthcare patient payment plans. But it should be.

Propensity to pay—or ability to pay—is the use of behavioral analytics, combined with your medical group’s internal payment rules, to create smart payment plans that patients are more likely to comply with.

Some keys to consider when implementing Ability to Pay solutions:

  • Start early.
    Don’t wait for the clinical encounter to score a patient’s account. By knowing the account score prior to their visit, you can collect an appropriate amount at the time of service.
     
  • Have a plan for how to handle Ability to Pay tiers.
    One you have identified account score tiers—decide how you want to handle those with clear rules. This will allow you to align staffing resources and procedures to each level—with the proper workflows to support each.
     
  • Access historical payment data.
    Ensure your Ability to Pay solution can access historical claims data. This will improve the quality of the score dramatically.
     
  • Know your baseline metrics.
    In order to determine the effectiveness of your Ability to Pay solution, make sure you know your baseline self-pay KPIs. Everything from DSO (or average days to collect), write-offs for bad debt and charity, current POS collections, etc.

Implementing a Propensity to Pay/Ability to Pay solution can be an effective method of improving your patient collections when done thoughtfully, and as part of a larger patient-friendly payment program. To learn more about Propensity to Pay, check out PatientPay's RCM solutions.