RCM tip of the day: Stay on top of payer policy changes

Unnoticed payer policy changes can result in lost revenue. Keep track of and prepare for any impending changes.

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If you would like to share your RCM best practices, please email Carrie Pallardy at cpallardy@beckershealthcare.com to be featured in the “RCM tip of the day” series.

Kassandra Kurth, Director of Strategic Initiatives for Experian Health: Frequent payer policy modifications and changes by insurance companies directly impact your bottom line. Staying abreast of changes allows healthcare organizations to take out the element of surprise and be proactive. There are automated products available to help aggregate payer information and deliver the information to appropriate staff for immediate action. Implementing an automated payer alert product can help your staff keep track of frequent changes in order to respond and plan appropriately. Learning about changes too late can result in days or months of non-reimbursed services.

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