Submitted on Wed, 2015-01-14
By SMART Health Claims

Implementing these five steps will go a long way to increasing your billing revenue, while streamlining the billing in your health center.

Discover how you can improve your billing program in just five minutes

Implementing a successful public health revenue cycle management program is an extremely tough undertaking for local health departments and community health centers. It is with that in mind that we present to you five of the quickest, easiest, and most effective steps to optimizing your operations.

Implementing these five steps will go a long way to increasing your billing revenue, while streamlining the billing in your health center.




INFOGRAPHIC: Click on the image below to see a larger version of this infographic.

1. Schedule patient appointments in advance.

Scheduling appointments with your clients in advance allows for quicker interaction between doctors and patients. This will allow you to see more patients each day, increasing your revenue stream.


2. Check patients’ insurance eligibility.

This step eliminates a lot of billing program inefficiencies on the front end before health departments have the chance to lose revenue and reimbursement opportunities.

As a health department, you are only required to enter patients’ demographic and insurance information. They will then receive insurance coverage details immediately, confirming or denying active insurance coverage on the date of service, rather than after the fact. If a patient does not have active coverage, then health departments can decide whether or not to provide services, depending on the policy.


3. Use a standardized encounter form.

Using a standardized encounter form allows health departments to record patient demographic and insurance information as well as any services provided by nurses. Encounter forms make it easier for health departments to streamline daily patient interaction, which allows them to see more patients each day. As a result, more reimbursement opportunities will become available creating more revenue for health departments.


4.Submit claims electronically.

Submitting claims electronically is a quick and easy method that prevents errors that may occur when submitting paper claims.  Electronic transfer is a better way to track a health department’s claims volume but is also much faster than the standard method.


5. Set up an EFT (electronic funds transfer) with eligible payers and receive EOBs electronically.

An EFT allows health departments to receive reimbursements quicker than paper checks and eliminates the need to deposit paper checks. This removes any hassle or room for error that might occur when dealing with paper currency.

Electronic EOBs are useful because they pinpoint which claims were paid and which have been rejected, saving time for the health department. This, in turn, will allow for more turnaround time for resubmitting rejected items.

These five simple methods will greatly improve your health department’s revenue cycle management process and maximize your investment in the long term.

Do you have any thoughts on how to optimize your billing program? We would love to hear about them. Our easy-to-implement public health billing tips come from our work with local health departments nationwide. Simply contact one of our public health billing experts or schedule a meeting to share your feedback and discuss what’s working and what’s not working for your organization.

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