Diagnosis: missed opportunities for payment.

Masoud Khorsand
Author Information
  1. Masoud Khorsand: Southeastern New Mexico Hematology & Oncology, USA. info@argole.com

Abstract

Southeastern New Mexico Hematology & Oncology of Roswell, N.M., lowered the rate of claims denials, expedited claims processing, improved accounts receivable (A/R), and decreased administrative costs by: Streamlining revenue cycle processes. Establishing a coding review board that monitors the coding changes made by all major insurers and Medicare. Working with a local foundation to help indigent patients purchase insurance and helping those that qualify for financial assistance receive aid. Outsourcing day-today billing functions.

MeSH Term

Accounts Payable and Receivable
Efficiency, Organizational
Fees and Charges
Financial Management, Hospital
Insurance Claim Review
Insurance, Health, Reimbursement
Medical Oncology
Medicare
New Mexico
Organizational Case Studies
United States

Word Cloud

Created with Highcharts 10.0.0claimscodingSoutheasternNewMexicoHematology&OncologyRoswellNMloweredratedenialsexpeditedprocessingimprovedaccountsreceivableA/Rdecreasedadministrativecostsby:StreamliningrevenuecycleprocessesEstablishingreviewboardmonitorschangesmademajorinsurersMedicareWorkinglocalfoundationhelpindigentpatientspurchaseinsurancehelpingqualifyfinancialassistancereceiveaidOutsourcingday-todaybillingfunctionsDiagnosis:missedopportunitiespayment

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