Revenue Cycle and Obamacare: What is the expected impact?

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Obamacare, even the title is an oxymoron. There is nothing that I can see in my review and analysis of the “PPACA” HR 3590 that resembles “care”.

Nancy Pelosi put “local framework” of this legislation in connection with the infamous her statement, “we need to pass this bill in order to find out what is in it.” Talk about ready, fire, aim!

Unfortunately for us in medicine and medical support service areas, PPACA is now law. Rather than burying our heads in the sand, it is important to understand and prepare for the direct and indirect effects of the PPACA will have a medical provider revenue cycle.

What percentage of the total A phone / R is patient A / R?

The national average for patient A / R ratio of the total A / R for non-hospital medical practices is 16.4%.

How much are you collecting as of Patient A / R?

Although it varies by specialty, on average, do not collect Hospital Medical practices 17.8% of the money owed patients.

  • gastroenterologists 26.9%
  • urologists 24.9%
  • radiology 19.6%
  • oncology 07.9%
  • surgeons 14.7%
  • Cardiologists 12.8%

When “prototype program for Obamacare,” Romney Care, was introduced in MA for some years ago, the second increase in patient accounts were on average 30%.

is expected to predict patient A / R increases due Obamacare General to be 27.5%.

If you are collecting less than half of outstanding patient phone / R, you can actually afford to have insurance A / R reduction and patient A / R increased by 27.5%?

In recent years, even before Obamacare, patient receivable A / R for most health care has become a growing problem.

5 years: Medical experts were conditioned to survive in the co-pay and insurance reimbursement. Very little thought or effort was put into collecting the responsibility of the patient.

Today, 83% of doctors interviewed said A / R part of their overall trade has gone up more than 15% in the last 5 years. Lower insurance reimbursements and much higher deductibles patients, providers have expressed that they can no longer afford to live of insurance reimbursement and co-pay one.

Medical providers have found that they can no longer simply write off the unpaid balance of the patient and expect to stay in business. Obamacare will only intensify this as a growing problem. Cooperation with the revenue cycle company specializing in billing and collections patient will significantly reduce this threat.

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Source by Samara L Keaton

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