
HealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsDeliver custom or industry designed product training directly to patient and resident care environments to reinforce proper use.
View All ProductsTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsCreate engaging and impactful learning experiences that meet the unique needs of your acute care staff.
View All ProductsExperience standardized and centralized healthcare provider credentialing, privileging, and enrollment that is smarter and faster than ever before.
View All ProductsAutomated, web-based provider credentialing and enrollment software for growing medical groups.
View All ProductsNCQA-certified CVO verification services for initial and re-credentialing files in an overflow or full-service capacity for healthcare organizations.
View All ProductsSearch, review, and add providers into the Epic provider master file with our Epic app integration, Provider Validate.
View All ProductsFinally, a comprehensive resource to support collecting, storing, and sharing credentialing data with ease.
View All ProductsHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
View All ProductsMitigate risk and elevate your quality of care. Improving both clinical and business outcomes starts with a smarter, more integrated approach to regulatory training, continuing education and quality management.
Learn MoreWhether it is a bill from a medical office practice, a freestanding surgery center, or a regular acute care hospital, there are some common medical billing issues that can impact revenue as well as patient perceptions of their experience. What are those issues and what is the best way to address them?
There are four issues that have consistently remained problematic in medical billing. They are:
1. Patient education -- Many of a patient’s medical expenses remain “invisible” to them. Healthcare pricing is typically a bit less than transparent, and patients (particularly those that are newly-insured) might assume that having insurance is all they need to completely cover costs associated with office and hospital visits. When Obamacare resulted in coverage for millions of people, many of them had high-deductible plans and did not understand that a significant medical event could leave them with up to $10,000 in medical bills for which they were responsible. A communication plan to help patients understand their financial responsibilities is an essential element in healthcare finance.
2. Coding errors – These mistakes remain a significant issue even as hospitals have become more experienced in applying ICD-10 codes. Incorrect coding of a medical service will usually result in a denial of a claim. Frequent communication between clinicians and billing staff, along with regular medical billing training and education to update staff on coding requirements, are essential to eliminating these errors.
Whether it is a bill from a medical office practice, a freestanding surgery center, or a regular acute care hospital, there are some common medical billing issues that can impact revenue as well as patient perceptions of their experience. What are those issues and what is the best way to address them?
3. Incomplete Patient Information– Failing to capture relevant patient information is still a very common barrier to full and timely reimbursement. Scheduling and registration staff are essential to this effort. Medical billing training and education to help staff understand the information that they need to collect along with the importance of this information is essential.
4. Manual Claims Processes – While many claims processes are now automated, there are still practices that rely on cumbersome and error-ridden manual processes and suffer the reimbursement consequences.
Even if our processes to educate patients and bill them correctly work well, medical debt remains a significant issue for consumers. In fact, it is medical debt and not poor or
irresponsible spending habits, which is the number one contributing factor in personal bankruptcies. So what is behind an increasing load of consumer medical debt?
A higher number of insured patients may not necessarily result in an improved accounts receivable sheet. Some patients may be unaware that their insurance plan requires them to be responsible for up to 20% of their medical expenses and carries a deductible of up to $10,000 in some cases.
Patients are delaying medical care. Financial concerns may play a part in a patient’s initial decision to delay medical care, but often does little to improve their financial situation as those delays can sometimes result in lengthier and costlier treatment. That more costly treatment can result in increasing medical debt for some consumers. Snowballing medical debt has far-reaching effects—bankruptcies and drained savings accounts can be the result of large or unexpected medical bills.
The Healthcare Financial Management Association’s (HFMA) Patient Friendly Billing Project has the tools to help healthcare organizations work with patients towards a less-punishing process. The initiative is based on HFMA’s research showing that patients want financial information that is clear, concise, correct, and patient-friendly.
In addition to establishing these parameters for patient financial communication, HFMA also has published best practices in patient financial communication with unique strategies to address financial communication for each healthcare setting. Medical billing training is essential for staff connecting with patients about financial matters.
Because deductibles are likely to remain relatively large and insurance and healthcare expenses will also remain significant line-items in many household budgets, it will be important to embrace best practices in patient financial communication to keep patients informed, comfortable with their understanding of their financial responsibilities and to protect revenue cycles. It is also important to provide staff with regular training to address the need for accurate coding and full and accurate patient billing information.
All staff with patient access must perform effectively to ensure the success of the revenue cycle in its entirety. With the shift toward high-deductible health plans and the growth in newly insured individuals, Patient Access is faced with communicating and collecting increasingly larger amounts for which patients are financially responsible. In addition to patient communications, these employees must fully understand insurance plans, coordination of benefits, medical necessity and ABNS, and the importance of the demographic and insurance information they collect and record. Learn about HealthStream solutions for training general Revenue Cycle and specific Patient Access staff.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ResuscitationIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream leverages medical professional development in healthcare by providing staff training programs
View All ProductsLearn more about HealthStream's provider credentialing, privileging, & enrollment solutions for healthcare organizations.
View All CredentialingExperience standardized and centralized healthcare provider credentialing, privileging, and enrollment that is smarter and faster than ever before.
View All ProductsAutomated, web-based provider credentialing and enrollment software for growing medical groups.
View All ProductsNCQA-certified CVO verification services for initial and re-credentialing files in an overflow or full-service capacity for healthcare organizations.
View All ProductsSearch, review, and add providers into the Epic provider master file with our Epic app integration, Provider Validate.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
View All Products