Billing and Reimbursement

As elements of the new healthcare law take effect, the way providers are reimbursed for services will change. Different forms of payment reform are possible in accountable care, but all will require clinical and financial data that providers and payers trust. There must also be a level of transparency that is comfortable for both parties – and patients – while providing sufficient and ongoing performance tracking.

To ensure patients receive appropriate care, risk assumption is expected to be tied to performance expectations for quality, outcomes, evidence-based processes, consumer access, and experience. Health information technology, which will help enable the payment and delivery system reforms, can also help providers improve collection of self-pay and high-deductible bills, and reduce their bad debt and A/R days. Adopting the right technology before reforms are implemented can positively impact your organization’s performance, now and in the future.

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