2024 Compliatric Webinar Series - Improving FQHC Patient Registration.pdf

Watch the webinar Here! https://attendee.gotowebinar.com/register/2738107649108644441?source=web


Efficient patient registration is essential for delivering quality care and ensuring patient satisfaction, as well as access to care. This webinar will explore innovative strategies and best practices to streamline and improve patient registration workflows at Federally Qualified Health Centers (FQHCs).

Key topics covered in this webinar include the following:

• Reviewing patient registration, focusing on the necessary components for FQHCs
• Systems utilized to streamline the registration process
• Performance measures utilized to determine effectiveness

Who Should Attend:

• FQHC administrators, billing and finance staff, IT professionals, and anyone involved in patient registration and intake process

1. Improving FQHC Patient
Registration

2. Agenda
•What is Patient Registration
•Patient Registration and Pre-Arrival
•Successful Patient Registration
•Benchmarks
•Final tips & takeaways

3. Patient Registration

4. Patient Registration
All processes related to
the activation of an
encounter/account
including a review of
demographic, insurance,
and other patient related
information.

5. Process
•Appointment Scheduling
•Insurance Verification
•Pre-registration –including Sliding Fee Applications
•Medical Necessity Screening
•Registration (Check-in)
•Collection (Check-out)
•Statement

6. The importance of Patient
Registration

7. Importance of Patient Registration
Scheduling Pre-Registration
Financial Clearance Registration
Financial Counseling Charge Entry
Coding Claims Process
Denial Management Acct Resolution
Releases HIPAA
Payment Posting Records Release

8. Examples of Required Data Fields for
Claims Processing
Patient Name
Age
Sex
Date of Birth
Insured Name
Patient’s Relationship to Insured
Insured Member ID
Insured Group Number
Date of Service
Mailing Address
Provider Name, Address, Phone

9. Best Practices

10. Order Entry
Communicate expectation of timely provider order entry.
Establish policy that requires a physician signature on an
order.
Create effective templates for maximum efficiencies.

11. Insurance Verification
Implement check of insurance eligibility, benefit verification.
Utilize all available options for verification.
Automated Eligibility Checks for all scheduled appointments.
Create procedure manual that clearly defines the process.
Train appropriate staff.

12. Appointment Scheduling
Implement minimum scheduling requirements for visits.
Establish policy for urgent walk in appointments.
Create standard scheduling templates for organization.
Monitor no-show rates to determine success.

13. Pre-Registration
Implement process of gathering standard information.
Sliding Fee application.
Consider technology.
Collect necessary information for insurance verification.

14. Check-in
Positive attitude is imperative in patient registration.
Utilize technology as time saving measure.
Create standard check-in procedure.
Gather all required information (consider field requirement).

15. Monitor Progress
Key Features of a Quality Audit Scorecard
•Standardized questions for all patient
accounts reviewed.
•Minimum number of patient accounts
should be reviewed.
•Identify department-level trends and
scan for new opportunities to include
in the audit.
Met
Registration Accuracy Criteria
Patient Demographics and Documentation
1. Information accurately transposed for all required fields.
2. Demographic information is not missing on account.
3. Insurance card is scanned to the account.
4. Consent forms are completed.
Patient and Guarantor Address1. Completeness of Patient Address
2. Completeness of guarantor address.
3. Comprehensive matching of each element of the address.
Patient and Subscriber Relationship1. Patient and Subscriber address are referenced in acct .
2. Patient and Subscriber relationship is correct.
Insurance and Benefit Verification Criteria
Eligibility Verification
1.Insurance was verified on account prior to appointment.
2. Timestamp of date/time verification reflected on acct.
3. Copy of verification information attached to chart.
4. Correct interpretation of eligibility response.
Sliding Fee Information 1. Patient received application.
2. Application processed correctly.
3. Information is captured in the patient record.
Collection Efforts
1. Required payment is requested from the patient .
2. Information shared concerning possible payor source
3. Financial Counseling is offered when required.

16. BenchmarksMetric Name What is Measured? Calculation
Insurance Verification Rate
Effectiveness of verifying Insurance Eligibility
Total Scheduled Encounters with Eligibility Verified /
Total Scheduled Encounters
Pre-Registration Rate
Effectiveness of pre-registering scheduled encounters
Total Sheculed Encounters Pre-Registered / Total
Scheduled Encounters Available to Pre-Register
Point of Service Collections % of Patient Cash
Effectiveness at collecting at the point of service Point of Service Collections / Total patient Cash

17. Final tips & takeaways
You are the first person our patients see it is important
that we make a marked impression by treating all of our
patients with dignity and respect.

18. Thank you
Tonya Harris