My CHAA Journey
I have finally taken the CHAA (Certified Healthcare Access Associate) exam and passed it. The test was created by the National Association of Healthcare Access Management (www.naham.org). The test required a “proctor” to administer the test. That is someone at your work that is not your immediate supervisor to pass a short quiz and to attest that the test was administered by the organization’s criteria. It is 115 multiple question test that is timed and given through the computer at their authorized website. Once we had paid for the exam we were given a link to the study guide. The guide was very helpful in taking the exam and is written in a language that is not very technical. The exam centers around a hospital operation and is not for those in a medical office.
This certification may not change or improve our work life but it always nice to have a certification on your resume. There are no other certifications our there for Patient Access/Revenue Recognition/Registration people so take advantage of this one. As soon as we meet the requirements for the CHAM – Certified Healthcare Access Management exam we will be taking that one as well.
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Educational Opportunites
As we stated in the previous posting we are gathering information on educational resources for our subscribers. I read all the time and enjoy reading about a variety of different things. I was emailed a link to this article by the author, Chris Thorman, who blogs about medical billing software, and am happy to post a link to it here:
The article talks about outsourcing your billing and some of the factors you should consider when or if your practice should do it. Granted, you may not have the input into the decision of if or when to outsource your employers billing but it is a very informative article none-the-less. Remember that keeping yourself informed about every aspect of Patient Accounting is always a good thing. You never know when an article, website or newsletter information may spark an idea to help your company’s bottom line. You may even get inspired to change your current job and explore other areas in this field that might prove financially and emotionally beneficial.
If you have read an article online that might be informative and/or educational to your fellow patient access reps, medical insurance clerks, registrars, etc then please send us the link and we will be happy to write a posting about it. We would greatly appreciate it if you would send a link to our blog to your fellow employees as well. The more patient accounting people who subscribe to this blog and send in articles, links and give us educational resources the better we can do our jobs!
Patient Access Reps
Are you a doctor’s office or hospital patient access rep? Maybe you are called something else by your employer such as a Medical Office Clerk or Insurance Clerk or maybe even an Admission Clerk or Registrar. Whatever the title we all do about the same thing. We collect demographic and insurance information about patients and input them into some kind of software program. Some of us do more than that such as post charges, collect co-pays and coinsurance amounts from patients and some of us even bill insurance companies or follow-up with the patient’s insurance to get them to pay the claims that have been billed to them. A few will even have to call the insurance companies to get pre-certification for a procedure. Whatever your duties are you need to know that you are “The Face of a Medical Practice” . And by that I mean you will generally be the first and possibly the last person that patient sees when getting medical services. You will set the tone of the visit for the patient and you could actually get a patient to return for future services or end up losing that patient for the clinic or hospital if you do not do your job correctly.
Most of us do not have specific training in our field. There is no college courses for our particular specialty. There are so vocational courses that can be taken and we will post another article on that soon enough. You can even take a certification exam as discussed in the CHAA Exam posting previously. Mostly, we are taught how to do our jobs by someone already doing the job. On-the-job training is the best way to learn how to do a new job, if you have the right trainer. So much depends on the trainer actually have the done the job, done it well and be willing to impart that knowledge to the trainee. But you must also be willing to learn some stuff on your own as well. To that end I would like to suggest, again, that you find and bookmark websites that give you updated information on insurances, medical regulations that affect patient access reps and possibly find a local source such as a state agency that keeps up on the current trends in our area of expertise. To start click on some of our links and bookmark them. Read through the materials on each and check back on them about once a month or so to see if anything new has been posted. We would even suggest that if they offer a newsletter or updating email service that you sign up for that as well.
Remember, learning some new everyday should be your motto or mantra!
ICD-10
Do you know what the difference is between the ICD-9 and the new ICD-10 codes that go into effect October 1, 2013? Granted that is a year or three down the road but as with any new technology it takes a while to learn new stuff and to buy new software updates and books with the updated information. ICD stands for the International Classification of Diseases. It is the coding system used around the world to classify diagnoses and is used in billing claims. Strangely enough the United States is the last country to adopt the ICD-10 coding rules. ICD-9 which was has been around since the 1970s needs to be updated because of all the advancements in healthcare as well as new diseases being discovered. The new coding systems allows for more specificity to diagnosis and treatment plans and will allow for new codes to be added as needed.
Granted, Patient Access Reps (non-billing or claims follow-up persons) do not need to know ICD-9 codes but as members of the Patient Financial Services (or Patient Accounts Receivable Areas) it is always a good idea to be aware of the changes in our sphere of influence. Patients may need to know why their insurance company denies their claims for a wrong diagnosis code and you will at least know something about what they are taking about to direct them to those who would know more. Also, if you ever want to change jobs or get certified it is always a good idea to keep up with current technology and the requirements of getting the patients claims paid promptly and correctly. Diagnosis Coding is just one of those elements.
If you want to learn more about ICD-10’s and coding requirements, and/or coding certification the best FREE
source of information is the Medicare website at: www.medicare.gov
You can also get more information from the CDC – Center for Disease Control:
http://www.cdc.gov/nchs/icd/icd10cm.htm
Or get the Information from the Organization that owns the ICD-10 information WHO – World Health Organization:
http://www.who.int/classifications/icd/en/