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, Payor behavior, Medical Assistance Modernization updates, Medicare RAC practices, and rate transparency. The Committee continues to facilitate discussion between third party payers regarding operational issues as well as and impacts regarding continuing changes generated by federal and state agencies.
To find out more about the committee or to participate please contact Denis Lukes at firstname.lastname@example.org.