Three top tips for maximising Private Patient billing opportunities
Liaison Financial’s Private Patients expert, Keeley Webber, discusses the challenges for NHS organisations in capturing and accurately billing Private Patient activity, and gives her tips for maximising legitimate charges to third party insurers.
14 October 2024
NHS IT systems can sometimes struggle with poor interoperability. Private Patient activity is recorded on numerous platforms, using different software tools and IT systems, which can potentially result in the flow of data being compromised..
Further, trust departments work in silos, which limits the opportunity for effective communication and sharing of data. The combination of these two factors can result in undercharges of Private Patient activity.
With that in mind, here are my three top tips for maximising legitimate billing opportunities…
1. Familiarise yourself with the Trust’s 3rd Party Insurance Contracts (HAPs), so that you can identify where there are legitimate opportunities or restrictions on billing.
2. Consider creating generic patient pathway templates for high volume activity types, so that you can anticipate what costs you would expect to incur for specific medical procedures.
3. Validate Private Patient activity daily to ensure there is ample time to capture all chargeable activity, and not restrict any legitimate charges by the 6-month, industry-standard billing deadline.
At Liaison Financial, our Invoice Review can increase your Private Patient income by up to 20%. Our team validates charges to third party insurers and reduces the need for Trust staff to review medical records, optimising resource. Our no-win, no-fee methodology also acts as a gap analysis tool, providing a real return on investment for your organisation.
For commercial support with your organisation’s Private Patients offering, please get in touch.