Hospital Stays Come with Long Lists of Medical Claims and Insurance Filings

Your daughter went out of the hospital for the first time in three and a half months. Half of her occupational therapy today was going to a local restaurant with this therapists. She has recently figured out how to work the brakes on her chair, so partway through lunch when she felt finished, she took off her brakes and tried to wheel herself to the door to leave.

This act of defiance was somewhat refreshing after some very bleak days of only getting nourishment through a feeding tube. The medical team have taken her off of all daytime feeding through her tube. She does, however, get some calories through the tube at night. She is now eating the smallest of cheeseburgers and other kinds of real food in large enough quantities that the nutritionists are no longer as worried.

The medical claims for all of these services, of course, are nearly as overwhelming as the accident itself. The driver who crossed the median, careened into your family’s car, and changed your life walked away from the accident unharmed, but your family will be dealing with the recovery process, and all the associated medical claims, for years.

Finding the Right Resources to Deal with Healthcare Claims Can be a Challenge

In a time when more Americans have insurance than any other time, it should come as no surprise that there are many people who are looking for ways to accurately and effectively file the necessary medical claims. With the use of healthcare claims and processing services, hospitals hope to create a process that can be both manageable and understandable.

Consider these facts and figures about the healthcare claims and processing software platforms that are used to help process the necessary paperwork after both short and long hospital stays, as well as doctor office visits:

  • 25% f U.S. hospitals and health systems say they hope to decrease costs by 1% to 5% over the next five years, according to a 2017 Kaufman Hall survey.
  • In fact, most hospitals and health systems admit that they need to cut costs by up to 30% over the next five years if they want to remain competitive, according to Kaufman Hall.
  • 60% of Baby Boomers will be managing a chronic condition by the year 2030, so the need for efficient medical claims filings will continue to be important.
  • 40% of Americans under the age of 65 have employer-based healthcare coverage.
  • 60% of the amount owed by patients is never collected, according to the latest Medical Group Management Association data.
  • $25 is the average cost to refile a claim, according to recent research.

Whether you are watching a teenage daughter recover after a terrible truck accident or you are facing the resulting bills from your own battle with cancer, the medical claim process can seem very overwhelming. Hospitals are working to update their billing platforms in an effort to cut their own costs, as well as make sure that the medical claims process is more manageable to the patients and their families.

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