The Committee identifies member issues with Medicare, Medical Assistance, and other payors regarding billing and reimbursement procedures, and works with third party payors to bring about acceptable solutions to issues raised.
The Committee’s Continued Focus
The Committee continues to focus on key revenue cycle performance measures, net patient revenue improvement initiatives, regulatory requirements, denial management, patient access, and uncompensated care, which includes bad debt and charity care. Current topics of discussion include observation, payor underpayment identification, payor behavior, medical assistance modernization updates and rate transparency. The Committee continues to facilitate discussions between third party payors regarding operational issues as well the impact of continuing changes from by federal and state agencies.