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CAPC Palliative Care Discussion Forum
Billing and Finance

Next Reply: Re:collection percentages
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Post collection percentages
Author: epwalker
Date: Jun 11, 2009 11:03 am
I am part of a hospital based inpatient/outpatient palliative care program. We have several physician and mid-level FTEs. We have our share of uninsured and Medicaid patients but a majority have Medicare followed by BCBS, etc. A review of our collection percentage reveals that it is significantly lower than that for other medical specialties in our hospital. Is this the experience of others in the forum? Are there benchmarks/expectations published or available for a "good" percentage of collections for a program?
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Re:collection percentages (by SharolHerr on 06/12/2009)
I hope you had the chance to hear the CAPC Audio conference yesterday. It was an excellent presentation by business and billing experts to review some of the details about billing. Attention to documentation is often the key to optimal billing and revenues. Our collections precentage is no less for PC then othe medical specialities. Our billers use the same E&M codes for all specialties. To assure that we have optimized our billing potential, we have had coders and billing experts review our documentation and level of service that we are billing. RN's who are documentation experts do concurrent chart reviews to see that there is compliance for documentation. This also is a benefit to the organization to optimize their revenue. I think it is safe to say that PC collections should parallel other medical specialties. Sharol Herr, RN, MSED; Nurse Clinician/Education Coordinator; Mount Carmel Health Palliative Care Leadership Center; Columbus, Ohio.

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