Are you tracking insurance avoidable days and attributing them correctly? What is your current process of analysis, escalation, and resolution? In the absence of quality and patient satisfaction issues, which inherently occur as a result of medically unnecessary hospital days, what is your financial loss on an annual basis? Are insurance delays a daily issue contributing to length-of-stay inflation?
BRG industry experts would suggest that it is at least a seven-figure problem at your facility. We have developed a solution and a process to stop the hemorrhage that is occurring that is rooted in payer process inefficiency and the payer’s strategy for profitability.
Read the new white paper from BRG’s Care Transitions team.