Manage Rising Self-Pay Account Volumes with These 3 Key Disciplines

This article previously appeared on the Ontario Systems Blog and is republished here with permission.

A recent CDC publication states 39% of Americans between the ages of 18-64 in 2016 were enrolled in High Deductible Health Plans (HDHP), up from 26% in 2011. This 13% increase means a larger percentage of a provider’s patient accounts now require them to collect the deductible and/or co-insurance amount from the patient. That has been a significant increase to handle in a short five-year timeframe, and when combined with reimbursement reductions, the two have put providers in a position where adding headcount to handle the volumes is not an option.

As a result, managing self-pay has become an even more important task, one in which providers traditionally have not had much focus on over the past 10 years. Applying traditional insurance follow-up methodologies, like working larger accounts first, is inaccurate and can be counterproductive. A solid segmentation strategy, on the other hand, can fill in gaps using key scrub processes supported with quality reporting.  Below are three key disciplines you can review to help improve your self-pay management process, improving patient collections:

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