RCM tip of the day: Target smaller subsets of claims to boost collections

Hospitals should use new technology to evaluate insurance claims on a micro level and improve collections, according to Peter Angerhofer, principal at Colburn Hill Group.

He said older technology limited claim reviews to broad categories, but now it is possible to narrow them.

"It is increasingly easy to review smaller and more focused subsets, even down to the individual claim or even charge level," Mr. Angerhofer told Becker's.

Revenue cycle management "managers should use that capability to create narrowly targeted micropopulations of claims.  By targeting claims that are very similar, managers can get a better understanding of how to resolve them and achieve the desired result: higher collections at lower costs."

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. 

 

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