Don`t Let Them Pick YOUR Professional Pocket

Don’t Let Them Pick
YOUR
Professional Pocket
Sponsored by:
Boston Sports Medicine Symposium
Presented by:
Glenn Morley, Consultant
Boston, Massachusetts
October 25, 2013
The Artful Dodger
2
Source: wikipedia.com
Pickpocket
Primer
David Avadon
“The nation’s premier
exhibition pickpocket”
3
Source: wikipedia.com
John Church, MD
NOLA, 2012
4
Uruguay
5
Source: wikipedia.com
6
Source: wikipedia.com
7
8
9
Your Inattention
Makes a Pickpocket’s
“Work” Possible
10
Distractions Abound
The roof is
leaking
11
KZA Ortho Surgical Survey Data
• 28% didn’t know if 2013 collections are
up or down compared to 2012.
• 24% didn’t know if
their patient visit
volumes were up
or down
compared to the
previous year.
Source: KZA Survey 2013
12
KZA Ortho Surgical Survey Data
• 20% do not scan patient benefit cards
in PMS.
• 75% have no way for patients to pay
online through their website.
• 35% do not register
new patients in the
computer system
prior to an
appointment.
Source: KZA Survey 2013
13
Your Most Expensive
Advice…
Oh, don’t worry
about the bill …
14
15
Source: 9news.com
Short Pay by Carriers
Meanie Plan Co.
January 7, 2013
Pay to: Trusting Surgeon, MD
Five hundred five and 12/100
$505.12
.
16
Office Staff Pickpockets
But they
are so
loyal!
17
Some Staff Steal…
18
Timecard
19
Source: buffalotime.com
Some Staff Steal…
20
“Doctors’ offices, clinics and hospitals are a fruitful
hunting ground for identity thieves, who are using
increasingly sophisticated methods to steal patient
information, lawyers and privacy experts say.
Recent disclosures that hospital workers snooped
into the medical files of Maria Shriver, Britney Spears
and George Clooney highlight the vulnerability of
patients to the merely curious and the criminal.”
Julie Appleby,
USA Today
21
Source: wikipedia.com
Doctor’s Office Employee Charged
with Identity Theft, Stole Patients’
Social Security Numbers
22
Souce: http://idtheftblog.wordpress.com
Nurse Accused of Stealing
Identities of Hospital Patients
“DENVER – A nurse who worked at
five or more hospitals in the Denver
area faces 90 felony charges in a
wide-ranging identity theft
investigation, 9Wants to Know
investigators have learned.
Prosecutors suspect a registered
nurse working at several hospitals
through a nurse staffing agency
improperly accessed patient files to
steal Social Security numbers and
other sensitive information, and
opened credit cards in patients’
names to make purchases.”
23
Source: 9news.com
http://www.rhris.com/
24
Dereliction of Duty
40%
It’s too hard.
I don’t have time
to do it that way.
I hate change.
This is the way
we’ve always
done it.
25
Your Enemy
26
NO:
• Patient Pre-registration
• Batch Eligibility
• Benefit Verification
• Claim Estimators
• Recurring Payments
• Online Payments
27
Medical Debt
Average employee
out of pocket costs
such as copayments,
coinsurance, and
deductibles were
$2,275 in 2013.
28
Filter Criteria:
Date Range: 02/01/2013-02/29/2013
REPORT NAME: Real Time Adjudication
Total Patient Liability
Uncollected Patient Liability
$0.00
$0.00
$0.00
$0.00
$50.00
$50.00
$25.00
$25.00
$0.00
$0.00
$250.53
$250.53
$0.00
$0.00
$0.00
$0.00
$120,514.76
$105,849.76
29
30
Some Staff Steal…
31
Even If They’re Caught, They Still
Have Your Money
32
Remember Your Safety Pins
Pay Attention!
It Pays!
Abdication vs. Delegation
33
Remember Your Safety Pins
34
Remember Your Safety Pins
Implement Modern
Payment Technology!
35
Thank You
Glenn Morley
[email protected]
312.642.5616