Self-Pay Stream

The CARES Act is the largest economic stimulus package in U.S. History, earmarking 175 million dollars for healthcare providers. Jeff, Lisa, and Hayden talk with Tony Andrade, Partner at the accounting firm Moss Adams, about how healthcare institutions can use these funds wisely and navigate the Paycheck Protection Program and Healthcare Enhancement Act. Music for this episode provided by JDUB Studio.

In a time of uncertainty, leadership is all the more important. Jeff, Lisa, and Hayden talk with Tammy Bickle, Director of Revenue Cycle at Oregon Health and Science University, about leadership during the Covid-19 chaos. The team learns how the OHSU workforce is adapting not only to the Covid-19 pandemic but also to managing the crisis from home.

A denial, according to HealthInsurance.org, “is the refusal of an insurance company or carrier to honor a request by an individual, or his or her provider, to pay for healthcare services obtained from a healthcare professional." According to Becker’s & Conifer Health Solutions, “an estimated $262 billion of the $3 trillion in claims submitted by hospitals in 2016 were initially denied, representing an average of $4.9 million in potential losses per hospital, according to a 2017 study of more than 3 billion hospital transactions. In part two of a two-part series, our hosts Jeff Johnson, Lisa Kirk and Hayden Reece discuss Large Balance Denials in the context of VA Reimbursements with Kirby Yawn, Senior Vice President, Solution Strategy at Argos Health in Augusta, GA.

A denial, according to HealthInsurance.org, “is the refusal of an insurance company or carrier to honor a request by an individual, or his or her provider, to pay for healthcare services obtained from a healthcare professional." According to Becker’s & Conifer Health Solutions, “an estimated $262 billion of the $3 trillion in claims submitted by hospitals in 2016 were initially denied, representing an average of $4.9 million in potential losses per hospital, according to a 2017 study of more than 3 billion hospital transactions. In part one of a two-part series our hosts Jeff Johnson, Lisa Kirk and Hayden Reece discuss Large Balance Denials with Michael Jacobson who is the Director of Reimbursement and Recovery at Providence Health & Services, and Justin Murphy who is a Compliance Attorney of Professional Credit.

The topic of Medicare tends to elicit an "Ok Boomer" response in millennials, but we haven't seen much dialogue about this program. In this episode, our hosts Jeff Johnson, Lisa Kirk and Hayden Reese discuss the problems associated with Medicare, how technology is helping to address this issue, and what we can all do to make improvements on our healthcare system.

A recent article from Forbes reports “In the U.S. alone, there were 47.8 billion robocalls made in 2018, and is a staggering 56.8% increase compared to 2017, which is concerning for a lot of Americans." In this episode, our hosts Jeff Johnson, Lisa Kirk and Hayden Reece unpack robocalls: what they are, how they are used and what consumers should know about how to deal with them.

There’s an old adage in self-pay collections: there are three types of people; those who will pay their bills, will pay but need a nudge, and those who won’t pay. With specifics to medical bills, some individuals certainly can't afford to tackle those expenses, however, some people are able to pay but refuse to do so. In this episode, our hosts Jeff Johnson, Lisa Kirk and Hayden Reece discuss the complexities of why individuals don't pay their medical bills and how limiting consequences on those that are able to pay but choose not to will have lasting impact on the healthcare industry.

Do you ever let an important decision fall through the cracks? It seems like no amount of mental reminders can help you take the next step. In this episode, our hosts Jeff Johnson, Lisa Kirk, and Hayden Reece, who serves as an on-staff behavioral scientist at Professional Credit, discuss Behavioral Economist Richard Thayer's nudge theory and how practical applications can influence patient financial decision making.

This HFMA Special Edition includes our podcast hosts, Jeff Johnson and Lisa Kirk, discussing innovation and disruption with conference attendees, Kelly Smith of Oregon Health and Science University and Dhruv Sikka from WellNow Urgent Care, at the HFMA Annual Conference in Orlando, Florida from June 22nd to June 26th, 2019.

In the premier episode of Self-Pay Stream, our hosts Jeff Johnson and Hayden Reece, join Professional Credit’s Lisa Kirk and Stephanie Rhoades, the Director of Revenue at Oregon Medical Group, to discuss the importance of using digital channels for financial engagement and the generational differences that may arise when transitioning to new forms of communication. Stephanie offers a healthcare provider’s take on the value of modernizing the patient billing experience while we examine using digital self-service tools in healthcare can improve financial outcomes.