Identifies member issues with Medicare, Medicaid, and other payers regarding reimbursement and billing procedures, and works with third party payers 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, ever-changing regulatory requirements, denial management, patient access, as well uncompensated care which includes bad debt and charity care. Current topics of discussion include Payor Underpayment identification, Arbitration opportunities, Payor behavior, Medical Assistance Modernization updates, Medicare RAC practices, rate transparency and ICD-10. The Committee continues to facilitate discussion between third party payers regarding operational issues as well as issues and impacts regarding the Affordable Care Act and Health Insurance Exchanges.
To find out more about the committee or to participate please contact Denis Lukes at firstname.lastname@example.org.