Patient management encompasses oversight of all functions related to the admission/registration processes for new and returning patients. The importance of effective front and back-end management cannot be undervalued, as one mistake in patient access services may result in a patient safety issue, a legal issue, a customer service issue, a patient billing issue, or a revenue issue for the facility.

1. Sabu V U
MBA , DMS,(HMA)
sabuvayalarikil@gmail.com

2. Patient management encompasses oversight of all functions related to the
admission/registration processes for new and returning patients. The importance of
effective front and back-end management cannot be undervalued, as one mistake in
patient access services may result in a patient safety issue, a legal issue, a customer
service issue, a patient billing issue, or a revenue issue for the facility.
Although maintaining an efficient and productive patient registration process
remains a principal component of patient access services management, this area of
healthcare administration also encompasses:
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3. Admissions
Financial counseling
Verification of benefits
Pre-certification for insurance patients
Physician relations
Guest relations
Information
Telecommunications
Scheduling
Case management
Drug treatment centers
Imaging facilities
Discharging Process ……to …ect..,
Areas

4. What Do You Manage in Patient
Management?
patients are the customers, and keeping them happy has become a priority.
Physicians are also looking for ways to improve patient care and build relationships
between office visits. Office staff often need ways to automate administrative tasks
and collect information. Patient management can do all that and more, and
sometimes save money in the process.

5. Duties and Responsibilities Support Staff
Patient managers are responsible for overseeing all functions of the patient access
services staff to ensure patient safety and satisfaction as it relates to registration and
admission, and to optimize the facility’s financial performance.
Depending on the size of the facility, these managers may oversee all patient access
services for the entire facility or for individual departments within the facility.

6. Adequate and complete data collection
Excellent customer care in direct patient services
The best practices of the department/facility
The integrity of collected data
Accurate clinical documentation
Complete and accurate coding
The managers oversee the following components of a facility’s patient
access services:

7. Patient access services departments play an important role in the overall
success of a facility, as they facilitate the critical processes at the beginning of the
revenue cycle, which begins when a patient is admitted and ends when payment is
received and the account is closed.
Successful management of all patient access services throughout the
revenue cycle helps ensure billing and payment takes place in a timely manner. The
ineffective implementation of key processes may result in rejected claims and denials
from payers. Therefore, patient access services managers are responsible for putting
efficient processes and methodologies in place to ensure timely billing and payment
of claims. Patient access services managers also implement strategies to help achieve
facility goals related to timely billing and collection of payment.
…..,

8. Hospital registration and ancillary computer systems
Government agency regulations (e.g., HIPAA, EMTALA, Patient Rights and
Responsibilities, Consent for Treatment, etc.)
Commercial and government health plans
Patient access services managers must be proficient in a wide array of areas,
including:

9. Positively identify the patient
Complete insurance verification
Determine the correct level of care
Obtain signatures on required documents
Provide patients with rights, notice of privacy, and other important
information
Make point of service collections
Provide financial counseling
Goals:

10. The best patient management programs bring patients into a practice in a
meaningful manner – they enhance patient loyalty by contributing
meaningfully to both the quality of care and the quality of service, as perceived
by the patient.

11. The time is right to examine more of your practice through the lens of how it
creates value for the patients it serves. If you decided to be a primary care
doctor you’ve always held those values. Now the technology exists to deliver
on that promise, today and every day