slide1 n.
Skip this Video
Loading SlideShow in 5 Seconds..
Patient Healthcare Costs Rise Again, ClinicSpectrum’s Soluti PowerPoint Presentation
Download Presentation
Patient Healthcare Costs Rise Again, ClinicSpectrum’s Soluti

Loading in 2 Seconds...

play fullscreen
1 / 8

Patient Healthcare Costs Rise Again, ClinicSpectrum’s Soluti - PowerPoint PPT Presentation

  • Uploaded on

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about 'Patient Healthcare Costs Rise Again, ClinicSpectrum’s Soluti' - clinicspectrum

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

“Patient Healthcare Costs Rise Again, Clinicspectrum’s Solutions Lessen the Burdens and Increase Revenue”

New Jersey2222 Morris Ave. 2nd Floor,Union, NJ-07083 Phone : 908-834-1608Fax : 877-600-9390

SalesPh: (908)-834-1608Email:


Article on


According to a recent article dated November 13th, 2014 on, “Worker Out-Of-Pocket Health Costs Have Doubled In Five Years”, the healthcare landscape is predicted to change even further in 2015. “As the economy improves and employees spend more on health care, employer-paid premiums are rising again with an increase of 5.5 percent forecast for 2015 with worker premiums and out-of-pocket costs – which have doubled since 2009 – rising at an even faster clip.”


Annual Healthcare Costs per Employee



This means that more out of pocket expenses are outstanding and collecting that money can raise new challenges for medical groups. Strategic solutions must be implemented in the areas of proper benefit verification, and automated patient collections to reduce revenue downfalls for practices.



Practices are generating up to 30 to 40 percent of their revenue from patients who have high-deductible insurance coverage. Failing to check patient eligibility and deductibles can increase denials, negatively impact cash flow and profitability.




Solutions to improve Eligibility Checking



Check patient eligibility 48 to 72 hours in advance of scheduled visit using one of these three methods:

Business-to-business (B2B) verification, which enables practices to electronically check patient eligibility using electronic data interchange (EDI) via their electronic health record (EHR) and practice management solutions.

B2B Verification

Look up patient eligibility on payer websites.

Payer Website


Solutions to improve Eligibility Checking



Call payers to determine eligibility for more complex scenarios, such as coverage of particular procedures and services, determining calendar year maximum coverage, or if services are covered if they take place in an office or diagnostic center. Clearinghouses do not provide these details, so calling the payer is necessary for these scenarios.

Call Payers

Determine Co-Pays

Determine co-pays and collect before service delivery.

Counsel Patients

Determine patient financial responsibilities – high deductibles, out-of-pocket limits, then counsel patients about their financial responsibilities before service delivery, educating them on how much they’ll need to pay and when.


Revenue Optimization



Another area of potential pitfall for revenue optimization comes from collecting patient balances after the services have been rendered


Automated Collection Software

Automated collection methods using technology platforms, decisions rules and messaging such as text, email, push notifications on smart phones and automated calls to allow seamless, consistent results for balance collection.




Can be installed and managed by practices

to contact debtors to increase collection rates!

Traditional collection methods of standard

mail delivery and costly representative phone

calls are replaced by a more elaborate,

seamless, cost-effective auto collection process.


Follow Us on Social Media



New Jersey2222 Morris Ave. 2nd Floor,Union, NJ-07083 Phone : 908-834-1608Fax : 877-600-9390

SalesPh: (908)-834-1608Email: