reimbursement | Customer Service Solutions, Inc.

Don’t Skip the Recap - 5/12/26


The playoff hockey game goes on for almost 3 hours.  There’s non-stop action, with plenty of penalties and takeaways and hits against the boards…and a few goals, as well. You didn’t get to watch the whole game because you had other plans, but you wanted to know what happened.  So, Read more

Finalize the Solution with the 6 Step Checklist - 5/5/26


In last week’s Tip, we showed why and how to Use the 6 Step Checklist before Resolving the Issue.  We noted the importance of taking 15 seconds to mentally walk through the Who, What, When, Where, Why, and How to feel confident that you know what’s needed to fix Read more

Use the 6 Step Checklist before Resolving the Issue - 4/28/26


We talk about trying to resolve the issue right the first time, sharing the technique on how to manage the conversation to get clarity on the real issue, need, or goal, and confirming your understanding before moving forward. But what are you trying to clarify?  What are you trying to Read more

Use the Customer’s Words - 4/21/26


The customer is describing a problem on what they call their “computer.” They mentioned that the “screen” doesn’t “move from one page to the other.” They say that the “website’s name is typed at the top,” and it says sample.com with a “line, and then it says ‘home’ after Read more

Affirming the Customer with Empathy - 4/14/26


We’ve spoken and written about empathy for the 20+ years of these customer service tips, noting empathy as the most important quality any individual can have if they want to be great at customer service.  We’ve shared that - in order to serve our customers most effectively – it’s Read more

The Power of Teaching While Helping - 4/7/26


If you’re trying to develop a relationship with the customer rather than just simply handling their transaction and moving on, you are taking a long-term view.  You realize that that individual is someone you want to keep with your business for months or years to come, so it’s a Read more

Bear with Me - 3/31/26


As a customer, you’ve probably called a company and heard the phrase “bear with me.”  At that point, you know there’s going to be some sort of delay.  The CSR is giving you a heads up that there’s going to be additional wait time.  Essentially, they are trying to Read more

Slowing Down the Fast Talker - 3/24/26


Jeffrey had always been told by his manager to figure out the issue quickly and wrap up the conversation as fast as possible.  So, Jeffrey was hyper-focused at finding that one key word that could identify the issue and help him to transition quickly to what might be some possible Read more

Don’t Bury the Lede - 3/17/26


Mary was working at the office, and she received an e-mail alert from the water company.  There was a water outage in her neighborhood.  It looked like it was going to be a couple hours to fix the issue. Sure enough, a few hours later around mid-afternoon, Mary received another Read more

Confirm the Real Issue Before You Start Solving - 3/10/26


Have you ever gone “down the rabbit hole?”  It involves going deep into some topic, some discussion – with analysis that creates complexity as much as it resolves it.  And that dive into the rabbit hole often starts with a simple question. Going down that rabbit hole takes time and Read more

Achieve and Improve

Posted on in Business Advice, Healthcare Please leave a comment

Hospitals learned years ago that their reimbursement from the Federal Government would begin being impacted by patient satisfaction. Essentially, the higher patient satisfaction, the higher the reimbursement. The hospital could potentially make less money for the same services provided if the patient satisfaction level was low.

But when that impact became more well-defined over the past couple years and has become a reality, it’s interesting to see how the Federal Government adjusts its reimbursement. HCAHPS (this new government mandated measurement/reimbursement program) is changing how hospitals get reimbursed, how they’re measured, and about what they care most.

According to Janette Jones, a consultant and HCAHPS expert with the healthcare research firm The Jackson Group, starting this summer, the Government will begin withholding reimbursement from hospitals based on patient satisfaction and clinical measures. The dollar impact can be as much as $500,000 for mid-sized hospitals, and more for larger hospitals.

And while the Achievement of key levels of performance comes into the calculation today, Improvement will also be considered down the road. And as Improvement in performance is taken into account, gradually the overall impact of the reimbursement will increase until 2% of Government reimbursement (in some cases equating to millions of dollars annually) is at-risk.

So the Government is focused on patient satisfaction, and it’s asking the hospitals to focus on two factors: Achievement and Improvement.

Think about your business in this manner. If your financial success was determined in part by achieving certain levels of customer satisfaction and then continually improving customer satisfaction, how would your priorities change? How would your strategies change? How would your decisions change?

When it comes to customer satisfaction – focus on Achievement and Improvement.

Listen to our latest podcast episode of “Stepping Up Service” on The MESH Network at http://themesh.tv/stepping-up-service/

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