Here are Kaufman Hall’s six action items for raising volume and revenue:
- Use a team-based care management model following patient status from arrival to discharge and solve efficiency issues through multidisciplinary collaboration. Consult post-acute care providers to track their capacity, streamline insurance authorization processing and isolate issues that prevent timely discharge of patients.
- Find and solve reasons for case referrals outside of the hospital or health system for specialty or acute-care services.
- Ensure patients are appropriately assigned observation status to maintain efficient patient throughput and delivery of services.
- Create a cross-functional team to connect authorizations, providers, case management, clinical documentation improvement and clinical denial appeals.
- Monitor clinical documentation improvement to ensure it accurately reflects quality of care and patient care complexity. Boost collaboration and communication between providers to ensure a detailed medical record across any inpatient and outpatient care facilities a patient may visit.
- Pay mind to inflation and a potential recession’s effect on household incomes of patients. Be clear and urgent with letting patients know about their out-of-pocket costs for care, as well as payment plans and financial assistance programs they may be eligible for.
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