# data[].attributes.body
Don't have a customer friendly electronic way at this time for clients to pay bill or co-pay easily

# data[].attributes.body
Front desk staff don't always know what amount they are supposed to collect

# data[].attributes.headline
Explore offering self pay options; payment plans

# data[].attributes.subject
Explore offering self pay options; payment plans

# data[].attributes.body
Copays and bill pay is a huge frustration for staff and clients alike.

# data[].attributes.body
Provider delays in returning documents to credentialing team/TA team

# data[].attributes.body
By the time the client gets their statement they typically owe large amounts of money and are overwhelmed.

# data[].attributes.body
No good virtual options for copay collection at time of service.

# data[].attributes.headline
Consider a financial advisor for patients - reviewing their options and billing policies, estimated costs, etc

# data[].attributes.subject
Consider a financial advisor for patients - reviewing their options and billing policies, estimated costs, etc

# data[].attributes.body
Would their be someone credentialed to see patients under 18 years of age?

# data[].attributes.body
90-120 day processing time on payer panel side

# data[].attributes.body
The paperwork to complete is overwhelming, and lot of information is duplicated on the different forms

# data[].attributes.headline
Commercial clients are limited to appt. times because of the number of staff that are paneled for certain commercial plans.

# data[].attributes.subject
Commercial clients are limited to appt. times because of the number of staff that are paneled for certain commercial plans.

# data[].attributes.body
Limited PTO/sick days in 1st years of employment.

Continuing education is expensive and requires staff to take time off with limited PTO

# data[].attributes.body
We have way too many errors on billing due to thinking someone doesn't have commercial, so they are applying for Safety Net. Then we provide an intake and we have to write that service off because they really do have commercial.

# data[].attributes.body
We need a uniform naming/billing method in our system. For example, if you run Enlighten data for Commercial revenue, non-commercial revenue is included. There will be Payers listed who are labeled as Medicare Advantage. Cleaning up the labeling of Payers/revenue will give us a more accurate picture of our Commercial revenue and Payer Mix in general.

# data[].attributes.body
Interdepartmental alignment and communication on enterprise expansion of services current and future goals. Sourcing and recruiting for the future happens in real time. Workday systems updates are necessary for the recruiting platform to build our talent pipelines.

# data[].attributes.body
need dedicated billing staff for commercial collections

# data[].attributes.body
Internal credentialing only meeting once per week to approve candidates.

Much of the credentialing/onboarding paperwork is duplicated.

# data[].attributes.body
would Commercial patients be able to get scheduled within 3 to 4 days

# data[].attributes.body
Staff do not timely return completed documents for credentialing. I do not know if they understand the importance of getting those documents to our credentialing staff as soon as possible.

# data[].attributes.body
Need Training "PTO" system for CEs to keep up licensure to remain competitive

# data[].attributes.body
Maintenance and updates in Workday to improve our candidate onboarding experience and efficiency.

# data[].attributes.body
The current process for commercial insurance verification is completely manual. Verification of eligibility prior to every visit is extremely time-consuming. Medicaid is verified manually upon the first verification, but subsequent checks are run through Waystar 270/271 automated process, which identifies clients with termed insurance. Those "exceptions" are then worked and accounts resolved prior to appt. 270/271 process for Commercial insurance clients has been discussed, but I am not certain if there has been any movement on that. Currently, every time a commercial client is seen, there is a manual recheck.

# data[].attributes.body
We seem to write off a tremendous amount of revenue. We need to drill down on the reasons.

# data[].attributes.body
Frustrated clients not knowing who to direct their billing questions to, often reaching out to clinical staff who have no understanding/answers for them despite their best efforts.

# data[].attributes.body
Not sending timely statements to clients

# data[].attributes.body
would this include all Commercial Insurance

# data[].attributes.body
Need to do a better job collecting payments and co-payments from clients.

# data[].attributes.body
Plan for commercial clients that remain or need to be seen at in-person clinics

# data[].attributes.body
Does our billing team know the negotiated rate for each Payer/service? Does that information get distributed by their manager? We need a process by which the billing team knows whether the amount of reimbursement is correct? Are they following up on incorrect amounts?

# data[].attributes.headline
Building a system that allows for development & advancement

# data[].attributes.subject
Building a system that allows for development & advancement

# data[].attributes.body
Training and development of leadership across the enterprise to prioritize a culture of opportunity for current and new staff. Ensuring we do not pigeonhole talent and limit their growth.

# data[].attributes.body
Hiring delayed due to credentialing process

# data[].attributes.body
currently have to eat the cost of some services due to therapist not being credentialing for up to 120 days after hire

# data[].attributes.headline
Review/Renegotiate rates - consider new payers

# data[].attributes.subject
Review/Renegotiate rates - consider new payers

# data[].attributes.headline
do we offer after hour/weekend sessions?

# data[].attributes.subject
do we offer after hour/weekend sessions?

# data[].attributes.headline
Consider specialty therapists - Do we appropriately assign patients to therapist based on need? 

# data[].attributes.subject
Consider specialty therapists - Do we appropriately assign patients to therapist based on need? 

# data[].attributes.headline
Do we have licensed therapists assigned and supervise (and bill commercial) unlicensed therapists?

# data[].attributes.subject
Do we have licensed therapists assigned and supervise (and bill commercial) unlicensed therapists?

# data[].attributes.headline
do we utilize CAQH? or have automated credentialing system that ongoing verifies license and OIG?

# data[].attributes.subject
do we utilize CAQH? or have automated credentialing system that ongoing verifies license and OIG?

# data[].attributes.body
We should track which codes a Commercial Payer is denying and the reasons for denial. They could be denied in error. Or maybe a particular code is not included in our contract and could easily be added.

# data[].attributes.headline
Do we have a collection group that we utilize after a specified time period?

# data[].attributes.subject
Do we have a collection group that we utilize after a specified time period?

# data[].attributes.headline
Do we appropriately code and bill to the highest level? Do we have coding auditors or follow up on denials with education?

# data[].attributes.subject
Do we appropriately code and bill to the highest level? Do we have coding auditors or follow up on denials with education?