Physicians Practice:  4 Ways to Exceed Patient Expectations via the Rev Cycle

Joe PolarisJuly 7, 2021

Physician Practices Improve Revenue Cycle and Patient Experience

As costs rise on goods and services from groceries to gas to car prices,  Americans are facing unprecedented financial challenges.  The extra pressure of rising healthcare costs isn't making life easier.  70% of adults worry about healthcare affordability.   


For physician practices seeking ways to increase patient volume with current patients and consumers shopping for care, understanding the ongoing impact of financial worries is critical to designing a plan that helps patients better manage care decisions as well as costs.


Patient expectations and the revenue cycle


Consider that the key public-facing touchpoints, such as pre-registration, intake, and payment, are also the interactions that often cause frustration for patients. Yet, these touchpoints are critical to the revenue cycle and financial recovery. Thus, being sensitive to consumers’ needs goes hand-in-hand with long-term growth.


Becoming consumer-focused starts with removing the friction and making it easier for consumers and patients to find and interact with your practice. Just as important is seamlessly coordinating the additional diagnostic and treatment services your patients need from other providers.


Digital tools are designed to make complex interactions user-friendly, transforming the patient’s entire care journey. This article highlights four strategies that leverage the technologies provided by patient experience solutions to enhance patient loyalty and satisfaction while driving better financial performance for physician practices.


1.  Be boldly transparent about costs

Consumers already expect to understand prices when they shop, and that information is readily available for most things except healthcare. Even though estimating patient financial responsibility can be complex, giving patients as much information up front as possible about out-of-pocket costs, such as copays and coinsurance, will pay off in building trust and loyalty.


Using a solution that offers price transparency tools, patients can better understand the cost of care before they proceed with scheduling, which makes planning and paying for care easier. At the same time, when patients are informed about their options, including insurance benefits and in-network alternatives, downstream denials can be avoided, and payment collection improved.


2.  Make self-service a clear option

When shopping for services and managing associated administrative tasks, consumers expect to use mobile self-service as they do for travel and banking. Leverage revenue cycle technology to let consumers search for your providers, schedule appointments, and complete paperwork upfront. Unlike paper forms, digital tools ensure previously provided details are accessible from visit to visit.


Letting patients complete pre-registration and intake tasks online at their convenience, such as adding or verifying demographic and insurance information, signing consents, and providing current health status data eliminates common frustrations with paper-based processes. In addition, it helps practices gather complete and accurate data to streamline and accelerate billing and reimbursement.


3.  Encourage patients to pay at their convenience

Throughout the pandemic, making payments online has become much more prevalent. Not only do more patients opt for making payments online, but many also prefer to pay co-pays at the time of service rather than waiting for a mailed statement.


By accepting payments online at multiple points in the care journey, such as during online pre-registration or at the time of service, practices will receive more early payments. This is not only more convenient for patients but also reduces billing and collection costs. In addition, by making flexible payment plans easily accessible as part of the self-service process, patients will appreciate the accommodating approach, while practices increase collection rates overall.


4.  Close the loop on care next steps

When a patient needs additional services for diagnosis and treatment, such as an imaging study, the typical approach of handing the patient a paper order leaves too much to chance. Will the patient follow through in a timely manner? How will the physician know if care was received? For both employed and independent practices, health systems in your market may offer digital care coordination tools, including electronic orders, prior authorization processing, and direct scheduling on behalf of patients.


Submitting orders electronically assures accuracy and completeness as well as immediate delivery to the rendering provider. Automated prior authorization processing confirms when an authorization is required by the payer and obtains the authorization quickly and efficiently to eliminate care delays and free up office staff time.


Direct scheduling allows office staff to schedule the patient’s appointment, such as for a CT scan, online in real-time. The patient can then be scheduled for a follow-up visit with the physician to review results, so the patient leaves the office feeling reassured that clear next steps are in hand. By working with the rendering facility to coordinate care, you can create a well-orchestrated process that gives patients confidence in their care team and improves operations for the practice.


Always consider the patient's point of view

As physician practices look for ways to increase patient volume and engagement, it’s critical to thoughtfully consider it all from the point of view of patients.


By transforming key revenue cycle touchpoints to make them as smooth as the interactions people experience with other industries, you can make it easy and convenient for patients to manage each step of their care journey. Actively engaging consumers and offering them the options they want will result in more volume and a solid path toward financial recovery.


Read the full article here.

Author Bio: As R1 RCM’s Senior Vice President of Product and Technology, Joe Polaris leads the company’s product strategy development and roadmap execution. He has been with R1 RCM for more than 13 years and has developed deep front-line revenue cycle expertise holding positions such as Revenue Cycle Site Lead and Director of Operations, where he built innovative end-to-end processes that have increased the financial stability for hospitals and health systems.