Dealing with Disability: Social Security and Applying for Benefits

If you are caring for a patient that has a disability, Social Security may give assistance in covering for living and medical expenses. You may extend your services to your patient by talking him or her through the application procedure. To know what to expect throughout the process, it helps to identify certain points involving disability benefits and rules.

Qualifications for Social Security Disability

By definition, the Social Security Administration (SSA) says that a disability is a condition that prevents an individual from performing gainful activity. Any attempt to perform such activities may cause physical or mental impairment to the person. The disability should have also persisted for a period of not less than 12 months, according to sources. Read more on this article:

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Patient Eligibility for Medicaid: Effect on Healthcare Revenue Cycle

In the healthcare industry, the role of a clinic or hospital encompasses beyond just giving medical treatment. An added service that can be offered to patients is to help them apply for Medicaid. With proper guidance from doctors, nurses and other hospital staff, patients can determine their eligibility for Medicaid and have a better chance of receiving the benefits they deserve.

Medicaid and Revenues

Research has found that hospitals with a mix of patients with Medicaid and other private healthcare plans are more successful in getting collections. This is an improvement compared to hospitals or clinics who serve only self-paying patients or privately-insured clients. Data suggests that with the right healthcare revenue cycle management strategies and with proper monitoring, hospitals can expect profits, even if they have many patients under the Medicaid program. Read more on this article:

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Revenue Cycle Management Companies Identify Issues and Help Solve Them

For a hospital to continue providing quality healthcare for its patients, it needs to make profits, and these earnings are dependent on the revenue cycle. The revenue cycle involves several processes, from the time a patient comes in to get treatment, up to the time he is billed, and until he or his insurance provider makes payment for such services.

There are instances, however, wherein a hospital faces challenges when it comes to revenue, further stressing the need for decisive action on the part of the management.

Errors in Data Gathering

Revenue cycle management often involves pinpointing the cause of lost revenue or potential debt in a hospital. At times, this happens when front line staff make errors when interviewing patients as soon as they enter the facility. They make mistakes in inputting the correct data about a patient’s personal info, contact details, his condition and meds, and others. Read more on this article:

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Applying for Benefits for Disabled Patients

If you have patients that are disabled or have become disabled, they may apply for social security disability benefits. The Social Security Administration (SSA) accepts applications filed by individuals or through hospitals, healthcare providers, and insurance providers.

Health Insurance Options: Making Smart Choices

As a hospital, an added service that you can give to your clients is to present them with their options for health insurance, especially if they have never applied for it before. If your patients find the right health coverage for their needs, then you won’t have to worry about getting reimbursed for your facility’s services. The best you can do is focus your attention on improving your staff’s services and providing the best care possible.

Understanding How Eligibility Works for SSI

Most people think that only those disabilities listed in the Social Security blue book are the ones strictly recognized for disability coverage. For the record, though, this is not necessarily the case. An individual may still apply for and be granted Social Security Disability Insurance (SSI) as long as they are able to satisfy the requirements.

Affordable Care Act Marketplace Basics Explained

With the affordable care act having been fully been implemented, there should be no excuse anymore to not have one. However, there are still many out there who have yet to get update with their insurance status. Here are some details you should know about the marketplace in case your organization is one of those who still have not made adjusted to the shift.

The Affordable Care Act Marketplace is Changing the Healthcare System

Also labeled Obamacare, the Affordable Care Act (ACA) has greatly influenced the healthcare system because of its incumbent changes to insurance policies and coverage. New health insurance marketplace coverage options affect hospitals, doctors and insurers in different ways. Understanding this impact is necessary for hospitals to improve their operations and customer service.

Hospitals

The quality of care is now gaining more attention because the ACA can halt Medicare payments to hospitals if too many patients return with complications within a month. This is why hospitals are keener on ensuring that patients receive optimal care, even after they are discharged. Some facilities even send nurses to the patient’s home to ensure that they are taking their medicines and following the doctor’s prescription. Patients are also monitored and encouraged to schedule a follow-up examination.
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Social Security Disability for Children Offers 3 Avenues for Parents

Every hospital should be committed to helping patients get the best service and treatment; they can do this by understanding all avenues wherein assistance is available. Social security disability for children is one these avenues. However, many parents don’t know how to acquire this for their children.

Here is where hospitals come in. They can guide parents throughout the process by learning the basic ways in which parents can join the program.

There are three types of children who can benefit from disability social security:

Low-Income Disabled Children

If the child comes from a low-income household, they can be eligible for Supplemental Security Income (SSI). This assistance can last until they reach the age of 18, but they can continue receiving assistance through adult SSI benefits. Medicaid is also available to children approved for SSI disability.
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Boost Revenue by Better Determining Patients’ Eligibility for Medicaid

Processing health insurance claims of patients in an efficient manner positively impacts your hospital revenue cycle management. Think of it this way: The more insured patients you treat, the greater your revenue rises. Given this, it’s essential that your RCM focuses on determining and verifying insurance eligibility, which is part of the initial phase of every transaction.

Determining patients’ eligibility for Medicaid and other health insurance programs takes time and requires a set of skills and knowledge. The staff performing this job should be well aware of all aspects of Medicaid enrollment, a daunting task to say the least.

This is why many hospitals struggle with this area of their RCM. If this is the case for you, then you may want to start seeking third-party help to deal with all Medicaid eligibility requirements. Doing so reaps many benefits, especially if your workforce is too light for such a job.
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