The rejected claims can be contested in a decisive manner and the receivables improved substantially on the back of methodical and professional approaches, which, we assure, we are capable of. Leaving such work to the professional and competent handling of Hexcell Health will free you from the bother of chasing the collectibles and enable the Institutions to concentrate on their core area of extending quality patient care while improving the cash flow through the timely collection of dues. Tying up with Hexcell Health will offer the Hospitals the confidence and capability to efficiently focus on their own larger issues in improving overall patient care quality and scaling up healthcare business. As per industry reports, nearly 20 to 30% of raised healthcare insurance claims are rejected or denied. It can affect the cash flow and more seriously, the bottom-line itself due to unfair rejections and delay in the settlement of treatment bills submitted to the Payers of the Schemes. This leads to claims getting rejected partially or fully even, or can result in delayed payment of claim amount, affecting cash flow. Managing social schemes like RSBY, ECHS, and ESI and Health Insurance can pose serious challenges to hospitals in terms of handling paperwork and expertise required for claim processing as well as following timelines specified under the Agreements. This is indicative of the magnitude of the issue. Many a hospital in Kerala is at the receiving end with sizeable outstanding dues from such schemes and several hospital Associations have notified the Government that they would be compelled to move out of such schemes in future. It could be a huge cash flow issue, if not. If managed efficiently, it could be a fabulous stream of revenue. But running and managing them can a throw a number of challenges to Hospitals among which a key issue could be the timely collection and follow up of receivables. This is especially true in the background that the Government of India is sponsoring Social Health schemes collectively with the involvement of state governments. To ignore the insurance schemes and other Health Schemes will amount to disregarding a significant revenue stream for the Hospital. Hexcell Health is set up with the aim of providing sustainable solutions to challenges faced by hospitals in handling the Health Insurance and Health Schemes that sponsor a section of the population taking treatment without upfront payment. Health Schemes Management “Frustrated with cashless health schemes ? we can help you out”
0 Comments
Leave a Reply. |