Billings can get tricky when it involves a third party—like when a member is hurt on the job or has an accident and is treated outside of Kaiser Permanente. To improve its third-party billings, members of the Patient Financial Services team in the Mid-Atlantic States worked with unit-based teams in Virginia and Washington D.C. They showed providers how to code for services, taught pharmacies to identify medications related to injuries and used the electronic drug information system for cross referencing. Within nine months, third-party billings shot up by a factor of nine and collections increased $50,000 in a year.
What Got Results
- Showing providers how to code for accidents and workplace injuries
- Teaching pharmacies how to ID medications related to injuries and accidents
- Using electronic drug information system for better cross-referencing