The Affordable Care Act (ACA) and the introduction of ICD-10 have complicated the already complex medical billing system. Due to changes in Medicaid and Medicare reimbursement as well as the different requirements for high deductible insurance plans, it’s becoming increasingly difficult for physicians to meet the financial goals they’ve set for their practice.

但是，进行以下更改可能有助于改善您的实践的财务状况并减少ACA的影响。

Provide Cost Estimates to Potential Patients

Prospective patients often are frustrated by the lack of transparency surrounding the cost of services and procedures. Since patients with high-deductible plans are paying a higher percentage of the cost of their care themselves, it’s understandable that they want healthcare services at the best possible price.

As the healthcare marketplace evolves, giving estimates upfront will become more common, and practices that aren’t willing to provide the information may lose potential patients. Preparing estimates for the services and procedures you commonly perform and offering them to patients can help you gain an advantage inattracting new patients和retaining current patients.

Ask for Upfront Payments

要求患者在办公室办理登机手续时支付全部应付款项是确保您全额付款的绝佳方法，尤其是对于拥有高扣除保险计划的患者而言。

If patients can’t afford to pay the entire amount, you may want to offer an automatic payment plan rather than sending bills. In this situation, a specific amount is automatically deducted from the patient’s credit card or checking account each month.

美国医学Association offers aPoint-of-Care Pricing Toolkit这说明了如何计算治疗成本并与患者谈论其财务责任。

将付款处理外包给帐单供应商

Billing vendors manage the billing process and stay up-to-date on ACA and Medicaid and Medicare requirements, in addition to commercial health insurance updates and changes. A good billing vendor allows you to access the system anytime and provides advice about what you can do to improve your billing and coding process.

It’s easy to become overwhelmed by the many changes mandated by the ACA. Developing a strategy to address those changes is an excellent way to keep your practice fiscally sound. Verifying coverage before patients arrive at your office, letting them know how much the visit or procedure will cost and asking how they will pay for the visit are essential steps in improving cash flow.

Do you struggle to keep your expenses low? Our free guide,Stop the Budget Bleed: How Private-Practice Physicians Can Reduce Spend，解释您如何在不加强预算的情况下继续提供优质的护理。