So how are the payers actually performing, from the perspective of the physician?
athenahealth and Physicians Practice just announced the 2008 PayerView survey results. PayerView gives providers visibility on payer performance by payer type, by region and by key performance metrics.
athenahealth collects the statistics on payer performance as they handle the claims processing for thousands of physicians.
The best overall commercial payer? Aetna. And the worst payer for Days in AR? New York State Medicaid.
- Denials increased due to inconsistent payer rules related to the exchange of CMS National Provider Identifier (NPI) information needed for claims handling. They forecast that the adverse impact of this will grow during the coming year.
- Surprisingly, patient liability was just about flat in the year over year comparisons, compared to a 19% increase in the prior year.