eClinicalWorks® Revenue Cycle Management: Helping Meet the Challenge of High Deductible Plans

The medical billing arena is seeing massive changes in 2015. While having more patients with health insurance is a positive step, many health leaders are concerned about the number of patients that purchased high deductible plans through state and federal marketplaces. Their decisions were often made because these plans have the lowest upfront cost. However, many do not have a thorough understanding of how the plans work. Essentially, high-deductible plans place more accountability on the patient. Unfortunately, self-pay can often lead to greater risk for the provider, significantly impacting collections and billing. How can providers meet this challenge?

Patient Education

Providers are often left with the burden of explaining health plans to their patients. Medical offices are finding that patients made health plan decisions based on the monthly premium cost. However, they don’t quite understand how it works. In their defense, many plans are complicated, having deductible components, co-pay provisions and services that are covered via co-insurance. It’s difficult for them to understand their financial responsibility and they often look to the provider to explain. Providers are finding it benefits them to be proactive in providing education. It’s better to deal with a thankful patient than one that is irate later. Providers are also coming up with payment plans for patients with high deductible plans.

Use eClinicalWorks® to Meet Challenges

Proactive patient education makes sense, but many offices struggle to find the staff time to dedicate to patient advocacy. EMR Billing Solutions helps your office utilize eClinicalWorks® to make the education and billing process as efficient as possible. When you subscribe to our PLUS service, we become your billing department. Patients call a dedicated number that goes directly to our staff, professionally trained billers that can answer questions about co-pays, deductibles and all the details on the patient invoice. Our staff is committed to spending the time necessary to help each patient understand his or her obligation. In fact, we don’t wait for the patient to call us. If payment is not received within 14 days, we call the patient to confirm they received the invoice and answer any questions they have.

Let EMR Billings Solutions help your office through this challenging time of health care reform by using eClinicalWorks® revenue cycle management. Contact our experts to learn more.