10 Things Your Mobile Pay Solution Should Offer

Technology is radically changing the healthcare industry, and patients now demand a modern billing and payment experience that enables them to conveniently transact how, when, and where they desire (more on this topic in our last blog). Mobile pay solutions are better aligned with patient needs than traditional methods and enable physician practices to realize significant cost savings and improve their collections. Before making the switch, you’ll want to ensure your mobile solution was designed from the ground up with your patients in mind. An effective solution should offer multiple payment options through one system, be able to accommodate new payment methods, have a built-in auto-draft system, and be able to integrate with your back office. Finally, a mobile pay solution should also offer a transparent fee structure and have a strong level of security.

Here are ten features you’ll want to look for in your mobile pay solution:

1. Designed with End Users in Mind

Building web portals then trying to engage customers doesn’t work as well as starting where patients already spend most of their time – on their phones. A mobile-first pay solution should be inherently designed to meet the on-the-go preferences of patients.

2. Patient Convenience

The more efficient and invisible the mobile platform is, the more patients are likely to use it. Forcing patients to download another app, create accounts, and login is inconvenient and only slows down the payment process.

3. Integration with Back Office Systems

A mobile pay solution should offer seamless, bidirectional integration with all back-office systems. Administrators should be able to see all office transactions and payment methods with scheduling data, patient account balances and managed payment plans. It should also enable billing managers to set up automated invoice workflows, such as payment plans.

4. Auto-Posting of Payments

As medical billing grows increasingly complex, healthcare providers are generating more bills than ever. A mobile patient solution should be able to auto-post all patient payments, regardless of where they are made, and tie them directly back to the respective visit ID.

5. Ability to Accept New Forms of Payment

As new payment methods, such as Apple Pay, Samsung Pay, Square Cash, and Venmo come online, healthcare providers should use a mobile pay upgrade as an opportunity to accept such payments.

6. Pay from Anywhere at Anytime

A mobile solution should integrate with all other payment methods and offer patients the ability to seamlessly and easily pay from anywhere at any time. That system should deliver patients the same experience whether they pay in the office, at home on a laptop, or on the go with their mobile device.

7. Auto-Complete and Card-on-File Technology

One recent survey found that while 80 percent of patients approve of having a card on file, only 20 percent of providers currently offer the service. A patient-centric billing and payment platform should be able to keep patient and card data on file. Auto-complete of fields can enable patients to easily pay through a text message with just a couple of pieces of information.

8. Built-In Auto-Draft

A mobile pay solution should also offer auto-draft to enable payment plans or quickly accept co-pays under a designated dollar amount.

9. Strong Security

A mobile pay solution must offer a high level of security. With tokenized payment methods, the patient’s primary account number can be replaced with a series of randomly generated numbers. This keeps less sensitive data off your system.

10. Transparent Fees

A mobile pay solution should offer full transparency into fees that will be charged to the healthcare provider or patient. Recently, Relatient launched a mobile-first patient billing solution, MDpay, which was built specifically to meet the above needs. See how MDpay helped a Washington, D.C.-based women’s health private practice collect over $160,000 in patient payments via text and email within just 3 months.

Make text, email and voice an integral part of your patient engagement.

The post 10 Things Your Mobile Pay Solution Should Offer appeared first on Relatient.


Source: 10 Things Your Mobile Pay Solution Should Offer

Don’t Settle for “Just” A Claims Editing Solution

Look beyond claims editing solutions and find a comprehensive solution to payment integrity.

If your payment integrity strategy is limited to just a claims editing solution, your health plan is falling short on the payment integrity continuum. Health plans that think beyond claims editing see bigger returns and make strides toward the holy grail of a payment integrity program: cost avoidance.

Let’s start by taking a look at what your health plan could be missing out on if a claims editor is the sum total of your payment integrity efforts.

Mind the gaps

Claims editing, built into an adjudication system, will provide a health plan with some benefit but it also leaves many gaps. For instance, choosing only a claims editing solution:

  1. Limits a health plan’s post-pay identification efforts.
  2. Makes proving the ROI on claims editing efforts much more difficult. There are no internal analytic capabilities, and even if there were, they’d only be showing one part of the payment integrity process.
  3. Overlooks goal setting and accountability capabilities needed to better manage third-party services vendors.
  4. Inadvertently contributes to data silos (a problem that CMS is actively taking on) by addressing only one piece of payment integrity.

These gaps all have one thing in common: they all lead to greater inefficiency and limit productivity. Progress along the payment integrity continuum can be measured by a reduction in the number of manual interventions required to keep things running smoothly for a health plan. No matter how automated your claims editing solution, the data silos alone created by this short-sighted approach can negate any gains.

Expand your opportunities

In contrast, total payment integrity consists of a more comprehensive solution to many moving parts, addressing the gaps of claims editing software by offering data mining, coordination of benefits (COB), and third-party vendor coordination.

Rather than addressing one singular aspect (claims), a health plan can extend their efforts and better manage their revenue operations by utilizing a more comprehensive platform that views payment integrity as a holistic program. In addition to claims editing, a total payment integrity solution opens up a whole world of opportunities for health plans:

  • Improved post-pay activity with first-pass, third-party vendors for major services (such as data mining, clinical audit, and COB) which complements internal post-pay efforts.
  • Comprehensive post-pay activity with additional vendors and introduction of FWA technology. With a total payment integrity platform, a health plan can leverage vendors as R&D to expand internal post-pay efforts in order to optimize spend. This reduces the amount of manual intervention required to effectively manage third-party vendors.
  • A third-party, post-adjudication pre-pay vendor to complement post-pay and FWA efforts.
  • Adding post-adjudication pre-pay with internal pre-pay operations in advance of third-party solutions. This ensures a health plan is continuing to round out post-pay activity.
  • With total payment integrity, all lines of business are addressed pre- and post-pay. Plans realize cost avoidance in excess of 50% of overall plan savings. Dynamic solutions are put in place to continuously evaluate and move post-pay identifications internally, ultimately leading to avoidance.

Where is your health plan on the payment integrity continuum?

Total payment integrity offers health plans a comprehensive platform with integrations and tools that require fewer manual interventions. As you take stock of where your organization falls on the payment integrity continuum, keep in mind that the current healthcare climate seeks transparency and access to quick information.

A claims editing solution falls at one extreme of the continuum, as it silos information and limits (or fails to supplement) post-pay identification efforts. Such an approach may be a temporary band-aid for health plans seeking to stop payment leakage, but it won’t hold for the long term.

What is required in order to stay on the progressive end of the continuum is addressing claims on a pre- and post-pay basis, while cost avoiding more than 50% of overall plan savings. Total payment integrity is a possibility that is achievable for health plans, especially those who are committed to seeing the bigger picture.

Learn more about the ClarisHealth 360-degree solution for total payment integrity, Pareo.

The post Don’t Settle for “Just” A Claims Editing Solution appeared first on ClarisHealth.


Source: Don’t Settle for “Just” A Claims Editing Solution

Don’t Settle for “Just” A Claims Editing Solution

Look beyond claims editing solutions and find a comprehensive solution to payment integrity.

If your payment integrity strategy is limited to just a claims editing solution, your health plan is falling short on the payment integrity continuum. Health plans that think beyond claims editing see bigger returns and make strides toward the holy grail of a payment integrity program: cost avoidance.

Let’s start by taking a look at what your health plan could be missing out on if a claims editor is the sum total of your payment integrity efforts.

Mind the gaps

Claims editing, built into an adjudication system, will provide a health plan with some benefit but it also leaves many gaps. For instance, choosing only a claims editing solution:

  1. Limits a health plan’s post-pay identification efforts.
  2. Makes proving the ROI on claims editing efforts much more difficult. There are no internal analytic capabilities, and even if there were, they’d only be showing one part of the payment integrity process.
  3. Overlooks goal setting and accountability capabilities needed to better manage third-party services vendors.
  4. Inadvertently contributes to data silos (a problem that CMS is actively taking on) by addressing only one piece of payment integrity.

These gaps all have one thing in common: they all lead to greater inefficiency and limit productivity. Progress along the payment integrity continuum can be measured by a reduction in the number of manual interventions required to keep things running smoothly for a health plan. No matter how automated your claims editing solution, the data silos alone created by this short-sighted approach can negate any gains.

Expand your opportunities

In contrast, total payment integrity consists of a more comprehensive solution to many moving parts, addressing the gaps of claims editing software by offering data mining, coordination of benefits (COB), and third-party vendor coordination.

Rather than addressing one singular aspect (claims), a health plan can extend their efforts and better manage their revenue operations by utilizing a more comprehensive platform that views payment integrity as a holistic program. In addition to claims editing, a total payment integrity solution opens up a whole world of opportunities for health plans:

  • Improved post-pay activity with first-pass, third-party vendors for major services (such as data mining, clinical audit, and COB) which complements internal post-pay efforts.
  • Comprehensive post-pay activity with additional vendors and introduction of FWA technology. With a total payment integrity platform, a health plan can leverage vendors as R&D to expand internal post-pay efforts in order to optimize spend. This reduces the amount of manual intervention required to effectively manage third-party vendors.
  • A third-party, post-adjudication pre-pay vendor to complement post-pay and FWA efforts.
  • Adding post-adjudication pre-pay with internal pre-pay operations in advance of third-party solutions. This ensures a health plan is continuing to round out post-pay activity.
  • With total payment integrity, all lines of business are addressed pre- and post-pay. Plans realize cost avoidance in excess of 50% of overall plan savings. Dynamic solutions are put in place to continuously evaluate and move post-pay identifications internally, ultimately leading to avoidance.

Where is your health plan on the payment integrity continuum?

Total payment integrity offers health plans a comprehensive platform with integrations and tools that require fewer manual interventions. As you take stock of where your organization falls on the payment integrity continuum, keep in mind that the current healthcare climate seeks transparency and access to quick information.

A claims editing solution falls at one extreme of the continuum, as it silos information and limits (or fails to supplement) post-pay identification efforts. Such an approach may be a temporary band-aid for health plans seeking to stop payment leakage, but it won’t hold for the long term.

What is required in order to stay on the progressive end of the continuum is addressing claims on a pre- and post-pay basis, while cost avoiding more than 50% of overall plan savings. Total payment integrity is a possibility that is achievable for health plans, especially those who are committed to seeing the bigger picture.

Learn more about the ClarisHealth 360-degree solution for total payment integrity, Pareo.

The post Don’t Settle for “Just” A Claims Editing Solution appeared first on ClarisHealth.


Source: Don’t Settle for “Just” A Claims Editing Solution

When It Comes to Engaging Patients, Keep it Simple.

Why does it have to be so difficult? Healthcare tech, that is.

This was the topic of a recent conversation between Relatient CEO, Michele Perry, and disrupTV. In other words, if consumers can purchase everything from water balloons to flat-screen TV’s with one-click ordering, why is it so hard to make an appointment or pay a doctor’s bill?

When asked about using technology to interact with patients, Michele says, “it doesn’t have to be sexy technology, keep it simple…”

Well said, Michele.

While we love shiny tech and a beautiful app as much as anyone else, at Relatient we’ve learned patients just want a simple way to communicate with their healthcare providers using technology they already know and use—their phones. Whether a patient prefers voice, email, or text—they are doing it from a phone.

Watch the interview

Apps and Portals Are Overhyped

It’s tempting to look at tech giants like Facebook, Amazon, and LinkedIn and think, “Yea. We just need to build something like that”. And while patients are applying an increasingly consumer mindset to healthcare, courtesy of higher deductibles and copays, the same approaches won’t work in this space. Healthcare isn’t something we want to think about every day, so we need to

RIP Patient Portals?

Not so fast. Michele says portals are an essential piece to Meaningful Use and for that reason, they are here to stay. They house in-depth patient information and offer patients the ability to be better informed about their care and the ongoing management of chronic conditions. That said, portals are clunky and rarely offer the real-time access patients want for simple tasks like changing appointment times or paying their balance.

Michele shared a personal example, “Last month I had an appointment and forgot the date, I created a password for the portal and when I logged in the appointment hadn’t been added. I couldn’t even find my directions for the appointment.”

She went on to explain that Relatient’s goal is to make it easy for patients and practices by removing the obstacles between a patient and provider, “our goal is to be invisible” she says. Relatient does this by automating communication for providers behind-the-scenes so that patient’s get exactly what they need from their provider, when they need it to take the next step.  It’s simple, but it just works — from helping patients get to their appointment, making it easier to pay, and following-up. Keep it simple.

This is clearly seen when a patient has a balance. Relatient sends a text message on behalf of the provider, with a link that is specific to the patient so that they don’ have to create an account. With the link they can view the bill and dates of service and if they have ever made a payment before, their card is on file, so they just select the card and click pay. No username, no password, no paper statements, and no checks needed. Read how one practice used this to collect over $160,000 in patient payments using email and text within 3 months.

disrupTV is a web series hosting a new set of leaders each week that share their thoughts and experiences in leadership, innovation, and disruption. Watch Michele’s interview with them here.

Make text, email and voice an integral part of your patient engagement.

The post When It Comes to Engaging Patients, Keep it Simple. appeared first on Relatient.


Source: When It Comes to Engaging Patients, Keep it Simple.

Embracing Technology, Eliminating Silos at ACMA National Conference 2018

Embracing Technology, Eliminating Silos at ACMA National Conference 2018

When entering the George R. Brown Convention Center in Houston, the first thing I was struck with was the sense of scale. In addition to the size of the venue, the 2000+ attendees at last month’s annual ACMA national conference comprise a who’s who in the case management and care transitions world. But it isn’t just about volume and scale – a sense of transformation charged the air, and it was apparent that big ideas were taking root. Two themes resonated throughout the conference and conversations: embrace technology and eliminate silos.


Source: Embracing Technology, Eliminating Silos at ACMA National Conference 2018