The Community Health Institute (CHI) expo, an annual conference put on by the National Association of Community Health Centers (NACHC), is one of the most comprehensive and significant year-end conferences for community health centers and federally qualified health centers (FQHCs).
Comprising of over 2,000 community of healthcare leaders, board members, employees, clinicians, and managers, the upcoming 2016 NACHC CHI expo in Chicago is an excellent networking opportunity as well as educational opportunity for many attendees in the community healthcare industry.
What to Expect
The 2016 NACHC CHI is scheduled to kick off in Chicago on August 28th and will close three days later on the 30th. It is planned to launch as the healthcare organizations go on with the expansion so as to adhere to the increasing demand for primary care services and the major outline of the Affordable Care Act (ACA) are advancing in their execution. Attendees can network and learn from some of the brightest minds in the industry, including reputable FQHC billing company maximizedrevenue.com.
Policies & Issues of Interest
Notably, the ACA has set in motion immense changes in the healthcare setting and their implementation have lifted up new issues for patients and the Community Health Centers. Such areas are evident in sections of operations such as the policies, clinical, and financial. For this reason, NACHC CHI is intended to convey the most current information regarding the transformation taking shape presently. Also, it will provide the attendees with the tools to stay tactically viable in the latest Health Insurance Market.
Primarily, the attendees such as the HCCNs, PCAs, FQHCs, and Health Centers will have the chance to take notice of issues such as:
- Sustainability, compliance, and quality
- Tele-behavior Health
- PCMH accreditation and recognition
- Integration of the clinical care team
- Retention and recruitment of the clinical workforce
- The reimbursement activities of the FQHC under the marketplace, Medicare, and Medicaid
- Contract negotiations with vendors and managed care plans
- Patient navigators
- Opportunities for the federal funding
Mainly, one should attend the NACHC CHI expo for the reason that they will have the chance to connect with new solutions and ideas, learn new skills, network, and hear the up-to-date information thought leaders in the healthcare industry.
Opportunities to Optimize & Grow
Even more, the CHI will offer the attendees the technical assistance, vital onsite training sessions, and essential, up-to-date information that will help guide them through the challenges of the current healthcare marketplace.
The NACHC CHI conference will comprise of some of the following event to help attendees optimize and grow their practice.
- Learning Lab: using strategic thinking to influence the Health Center of a community
- Using the social media to build a community.
- Show Me the Money! The hidden facts for enhancing performance done with FQHC Practice Transformation that is Data-Drive.
- The information that one knows about the FTCA is not sufficient
- It will allow one to understand the large advantage of the Affordable Care Act.
- The complexity of the patients and how they can be managed for a better experience, lower cost, and better quality.
- Retaining, growing and hiring a stable workforce.
- Medicare PPS.
For more information about the NACHC CHI expo 2016, visit meetings.nachc.com.
Patients are struggling with bigger medical bills because of the increase of high-deductible plans. Most of the time, they’re not ready to pay them. For health care practices, this means finding methods to improve your medical billing collections needs to be top priority particularly patient payments.
Whenever patients don’t pay, it affects your practice’s revenue and put it at risk.
As soon as you discover your medical billing is taking a hit already, you begin to realize that you can’t pay for more income loss from ICD-10 coding errors as well as Meaningful Use needs. This is true especially for small practices with leaner financial budgets.
And this challenge is not going anywhere as a lot more patients will either need to pay larger co-pays s for an office visit or they’ll be compelled to invest more out of pocket cash due to their chosen policies with greater deductibles.
The middle class is now more and more burdened by the charges for healthcare and a lot of experts struggle to cover precisely what their employer’s health care plan won’t. It’s a situation of companies attempting to provide workers health insurance yet still create profit. However at any time costs go up for the customers across the board – it encourages a holdup in care. Or, a holdup in payment.
The days where you’re not being disturbed by not collecting your patients’ co-pays is behind us, because today’s providers have to gather every cent which is owed them. Effective medical clinics use a variety of patient billing tools and protocols that work wonders in optimizing their efforts.
How to Improve Medical Billing Systems
Listed here are 3 ways you can increase the timeliness of collections for your practice’s medical billing efforts.
1. Collect Patient Information in Detail
Verify patient insurance details with each visit, which includes producing copies of the insurance card. Make sure that your receptionist or the person who deals with the billing asks your patients regarding any changes of insurance companies or address. Giving a claim to the completely wrong company and/ or address will just lead to delays, and the time you spent on rebilling with further delays.
Patient social security numbers should also be verified; if this actually a first visit, your biller has to get this information when verifying insurance coverage. This can be crucial in case you need to contact a collections agency later on for recovery of past due payments.
2. Establish a EHR System
Make use of electronic health records (EHR) as well as paperless claims technology to take care of billing chores. A great system could be costly however worth it in terms of receipt of payment and quicker billing, and also posting to the proper account. This is also true of practices with a sizable volume of patients.
Practice management billing services and documentation, paper claims may take 90-120 days to process, whereas those submitted electronically generally take around one to three weeks for insurance to be reimbursed.
3. Use Medical Billing Software
If you haven’t invested in medical billing software yet, you’re making things a lot more challenging than they should, except if you like uphill fights. As powerful strategy to optimize billing for all types of medical clinics, leveraging software is one of the most effective and easy to implement.
Turning to Practice Management as well a medical billing software will streamline your whole process of collections by tracking overdue bills, finding those patients that have fallen behind, and then automating late fees. A powerful solution may come with a larger price tag however keep in mind that software can end up saving you a lot on internal billing resources and also raise your collection rate.
Federally Qualified Health Centers (or FQHCs) are organizations that are able to receive grants under the Public Health Act. Most FQHCs service areas that have been traditionally underserved and they tend to offer residents of the area a sliding fee scale as well as providing them with comprehensive services.
With that being said, maintaining the revenue stream for such an organization can be more complex that what most people may believe. Within FQHCs, there are a variety of departments that need to efficiently collaborate and work so that revenue can be maximized via patient billings.
Billing Challenges Faced by FQHCs
Consistently, healthcare centers that fall into this category seek revenue improvement, although they are extremely challenged by their static as well as declining volumes of patients, patient case reclassifications and regulatory framework. FQHCs tend to center their focus on the following methods as a measure of improving FQHC patient billing processes, financial health, and revenue streams.
Understanding the Overall Cycle of the Revenue
Having a clear understanding of the overall cycle being utilized in the revenue collection is an accepted and healthy practice when trying to optimize revenue streams. It is imperative that there is a clear process of billing that begins when a patient schedules an appointment and completes once the patients has been attended to and their debts have been cleared. When addressing the needs of a FQHC, the process should take into account the following:
- Patient registration
- Entry fee/charge
- Payment posting
- Accounts receivable follow-up
Capture All Charges and Review and Update Fee Schedules
During the process of billing, the staff of an FQHC should collect and enter all information accurately pertaining to demographics and insurance for the particular patient. The centers should have the following currently documented and on file for effective billing: home address, birth dates, telephone numbers, and insurance information.
In order to optimize the collection of revenue for an FQHC, the centers will need to reconcile their encounter forms and health schedules daily. This will allow for the health centers to track encounter forms that may have been (accidentally) missed and therefore decreases the avenues for lost revenue.
Reduce Out-of-Network Revenue Leakage
Most FQHCs have been known to have hired their physicians quite aggressively. Beyond the hiring technique, office related infrastructure expenses and incremental salaries can prove to be quite a burden on income statements.
It is best that health centers not acquire physician services and practices before taking the proper steps in regards to the limiting and prevention of out of network referrals. FQHCs should optimize their practices thoroughly and efficiently.
It is acceptable and needed for a health center to make proper use of their vendor applications that are able to deliver advanced clinical documentation features that coordinate proper care across a clinically integrated network. This will afford the center with a proper manner in which to shape and track scheduling as well as patient referrals.
Moreover, to maximize the revenue stream of an FQHC, there will need to be clear communication to the patients regarding the health centers financial and billing policies. There will need to be documentation detailing the policies that each patient will be required to read and sign. This documentation will need to expressly explain cancellation or collection of the institution’s policies, insurance information, authorization mechanisms, and terms of payment.