Ms. Brandon shared the following tip with Becker’s Hospital Review: “It’s essential to educate physicians on the importance of their role in serving as an advocate of their patients’ financial resources, as well as the hospital’s. The appropriate level of care is best advocated by undertaking a physician-to-physician review. When payers are reluctant to pay for a specific level of care or procedure, the hospital’s physician advisor should engage the patient’s specialty physician in a peer-to-peer review. This process ensures that critical, patient-specific information is known and documented.”
Click here for more information about claim denials.
If you would like to share your RCM best practices, please email Kelly Gooch at kgooch@beckershealthcare.com to be featured in the “RCM tip of the day” series.
More articles on healthcare finance:
Moody’s: US nonprofit hospitals see decrease in median operating margin
Acquisition grows Partners HealthCare profits amid plans to cut $600M: 4 things to know
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
