November 17, 2017
Indian Health Services (IHS) healthcare facilities experience unique issues in their quest to make high quality healthcare accessible to American Indian and Alaska Native (AI/AN) communities. While financial well-being plagues the entire healthcare industry, AI/AN communities are disproportionately affected.
Consider this: the U.S. federal government spends approximately $3,136 per capita for the IHS, compared to $12,179 per Medicare beneficiary and $5,790 per Medicaid enrollee.
According to the National Indian Health Board, “Despite some funding increases over the last several years, IHS is still far below total need and [AI/AN] people continue to experience some of the worst health discrepancies in the country.”
Combating Health Discrepancies
One way to combat this discrepancy is to obtain more reimbursements. Without reimbursements, depleted funds limit the number of treatment options a hospital can provide. Lack of funding negatively impacts preventative and curative services and in turn, minimizes patient care outcomes—negating even the most sincere efforts of the provider.
Unfortunately, many healthcare facilities miss more billing opportunities than they’re even aware of. Not to mention, tracking down reimbursements can be a frustrating and time consuming process. Luckily, it doesn’t have to be.
So, what’s the solution?
Solutions for Enhancing Patient Care in Tribal Communities
1. Minimize the frustration of denials
Technology should be leveraged to prevent issues from snowballing. Hospitals use BOOST− our insurance discovery service − to prevent administrative denials, and EMUE to automate manual work. No headaches required.
2. Receive more reimbursements
BOOST efficiently locates complete identification of third-party healthcare coverage for patients. Norton Sound Health Corporation (NSHC), a tribal owned, not-for-profit healthcare organization uses our insurance discovery service to obtain millions of dollars in additional revenue each year.
3. Automate manual work
The Alaska Native Tribal Health Consortium (ANTHC), IHS hospital located in Anchorage, Alaska, used EMUE to eliminate close to 20 hours of manual work per week.
Automation can be used to not only enhance patient care in American Indian and Alaskan Native communities but to also eliminate the headaches and frustration experienced by hospital staff. In turn, IHS facilities can improve their bottom line, while also improving the care they provide.
Ready to infuse your organization with revenue and make sure you aren’t missing any billing opportunities? Check out our new risk-free tool − BOOST: Backlog Search™ − giving you and your staff a chance to prevent missed billing opportunities.