Patient Access Management

Integration of clinical and business office functions at the point of patient access to hospital provided care and services
If you desire these outcomes:
■ Reduce payment denials
■ Improve service to hospital referral sources
■ Avoid “cancelled admissions”
■ Increase referrals to services within your healthcare system
■ Expedite patient care and treatment
■ Reduce LOS (length of stay)
■ Identify primary payer source at the time of registration
■ Avoid non-compensable outpatient bed assignments
Solutions and Action
Strategies
Knowledgeable healthcare clinicians and business office professionals working with patients and their referral sources to:
■ Understand the patient’s healthcare needs; Identify appropriate and available healthcare system and community resources
■ Collaborate with physicians and other referral sources
■ Assist the patient to access care in the most appropriate setting
To accomplish these goals and objectives:
■ Create partnerships between nursing clinicians and business office professionals at all points of patient access to hospital provided services
■ Perform pre-registration patient clinical evaluation for identification of principle diagnosis and level of care determination
■ Obtain physician orders for patient care and treatment as part of the pre-admissions process
■ Implement resource referral services for all non-admit level of care determinations
■ Achieve real-time, pre-registration or same day insurance verification, benefit determination, notification and authorization
Care Management Solutions
(810) 750-8463 ph