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Understanding digital assets, payment methods & regulatory considerations
by Jennifer Leon

Optimizing patient payments with digital assets is crucial in the evolving health care landscape due to the convergence of technological advancements and the increasing demand for streamlined, efficient services. As health care systems globally shift towards digitalization, integrating digital assets such as blockchain, mobile payments and electronic health records can significantly enhance payment processes by reducing friction, minimizing errors and accelerating transactions.

This not only improves the patient experience by offering convenient, transparent and secure payment options, but also boosts operational efficiency for care providers. Leveraging digital assets can also help address challenges such as high administrative costs, fraud and billing inaccuracies, ultimately leading to better financial management and resource allocation within health care institutions. We'll look at the significance of these digital tools, the benefits of having a payment method on file and the regulations surrounding patient communications, alongside an exploration of patient payment behaviors.

Digital Assets in Billing

Digital assets, particularly texting and email, have become integral to the billing processes in various health care settings. These tools provide an efficient way to communicate with patients regarding billing, payment reminders, and financial transactions.

Text Messaging

Text messaging, or SMS, offers several advantages in patient billing:

  • Immediate Communication: Text messages are often read within minutes, providing a swift method to notify patients about upcoming payments, overdue bills or required actions.

  • Reminder Services: Automated text reminders can significantly reduce late payments. A study published in the Journal of Medical Internet Research found that automated reminders improved payment rates by 15% compared to traditional methods.

  • Ease of Use: Text messages are straightforward and accessible, accommodating patients who may not regularly check their email or access online patient portals.

Text messaging is a powerful tool, but its use is governed by several rules and regulations to protect patient privacy and ensure proper communication practices, including:

  • Consent Requirements:  The Telephone Consumer Protection Act requires health care providers to obtain explicit written consent from patients before sending text messages. This consent must be documented and should include the type of messages patients will receive.

  • Opt-Out Provisions: Text messages must include clear instructions on how patients can opt out of future communications. This ensures that patients have control over the messages they receive.

  • Message Content: Text messages related to billing should be concise and clear, avoiding any personal health information. For sensitive communications, email or other secure methods should be used.

  • Compliance with HIPAA: Text messages must comply with HIPAA regulations, ensuring that any patient information shared through text is protected. This often means avoiding the inclusion of specific medical details in text messages.

Email Communication

Email remains a robust tool for patient communication and billing. It offers:

  • Detailed Information: Emails allow for another immediate way to inform your patients a bill is due. Be sure if you are sending emails to remain compliant and secure by sending a secure link within the email. The patient or caregiver can then log in to the portal to view statements and payment history. This form of communication also helps alleviate billing phone calls back to the office, and when the patient has access to their financial account the burden falls from your staff.

  • Record Keeping: Emails provide a written record of communications, which can be useful for resolving disputes or clarifying billing issues.

  • Security Features: Emails can be secured with encryption, helping to protect sensitive patient information. This is extremely important when communicating with patients via 
    email.

The Benefits of Having a Payment Method on File

Having a payment method on file is increasingly crucial in the health care sector for several reasons. This practice not only streamlines the payment process but also enhances overall financial management for providers while improving the patient experience. It helps with:

A Streamlined Payment Process:

  • Automatic Transactions: When a payment method is securely stored on file, transactions can be processed automatically. This eliminates the need for patients to manually make payments each time a bill is due, reducing the risk of missed or late payments.

  • Efficient Billing: Automated billing systems that utilize stored payment methods can generate invoices and process payments quickly. This efficiency helps in maintaining a steady cash flow and reduces administrative workload related to manual invoicing and follow-ups.

Enhanced Patient Convenience:

  • Reduced Hassle: Having a payment method on file means patients do not need to remember payment deadlines or write checks or enter credit card details repeatedly. This convenience can enhance patient satisfaction and reduce anxiety about managing health care expenses.

  • Flexible Payment Options: Patients can set up recurring payments according to their financial schedules, such as monthly or quarterly. This flexibility makes it easier for patients to manage their finances and ensures that healthcare bills are paid on time.

Improved Collection Rates:

  • Fewer Delays: According to industry reports, health care providers with payment methods on file experience fewer delays in collections. The Healthcare Financial Management Association notes that such practices can lead to a 20-30% increase in timely payments.

  • Reduced Bad Debt: By ensuring that payments are collected automatically, providers can minimize the risk of bad debt. This is particularly important in health care, where unpaid bills can significantly impact a provider’s revenue cycle.

Administrative Efficiency:

  • Lower Administrative Costs: Storing payment methods reduces the need for repetitive administrative tasks such as generating paper invoices, sending reminders, and processing manual payments. This can lead to cost savings and allow staff to focus more on patient care rather than billing issues.

  • Simplified Reconciliation: Automated payments simplify the reconciliation process for accounts receivable. Payments are automatically recorded, reducing the chances of errors and discrepancies in financial records.

Enhanced Financial Security:

  • Secure Transactions: Payment methods stored on file are usually protected by advanced encryption and security protocols, reducing the risk of fraud. Health care providers can leverage secure payment platforms to ensure that patient financial data is kept safe and confidential.

  • Consistent Cash Flow: Automated payments provide more predictable and consistent cash flow, which is essential for managing operational expenses and ensuring that the organization can meet its financial obligations.

Better Patient Relationship Management:

  • Reduced Billing Confusion: Patients with a payment method on file often experience fewer issues with billing errors and confusion. Automated billing systems are less prone to errors compared to manual processes, leading to clearer and more accurate financial communications.

  • Increased Trust: Offering a streamlined payment option can enhance trust between patients and providers. Patients appreciate the convenience and reliability of having their financial arrangements handled efficiently, which can contribute to a more positive overall experience.

Compliance & Flexibility:

  • Adherence to Payment Policies: Payment methods on file facilitate adherence to payment policies. For example, if a patient has agreed to a payment plan, automated payments ensure that these agreements are honored consistently.

  • Accommodating Insurance and Copayments: Having payment methods on file can also streamline the handling of insurance copayments and deductibles. This helps in managing patient balances more effectively and ensures that all financial aspects of the care are addressed promptly.

Patient Payment Behaviors

Understanding patient payment behaviors can offer valuable insights into optimizing billing processes. Ensuring everyone from intake to billing is knowledgeable in all modalities of payment will not only streamline the cash flow, but also make for happier staff and patients. Be aware of:

  • Payment Preferences: According to a survey by the Advisory Board, 62% of patients prefer digital payment methods, such as online portals or mobile apps, over checks or cash.

  • Late Payments: The same survey found 27% of patients experience difficulties with timely payments. Digital reminders and streamlined billing can help address these issues.

  • Impact of Payment Methods: A study by McKinsey & Company revealed that patients with a payment method on file are 40% more likely to make timely payments.

  • Financial Assistance Needs: Research indicates that nearly 30% of patients report challenges in meeting healthcare costs. Providing flexible payment options and financial assistance can help improve payment rates and patient satisfaction.

As technology evolves and we are seeing more options within health care, optimizing the patient payment process is becomes increasingly critical. Digital assets such as texting and email play a crucial role in streamlining communication and billing. The benefits of having a payment method on file include faster payments, increased convenience for patients and reduced administrative burdens. However, adherence to regulatory requirements is essential for maintaining patient trust and protecting sensitive information.

By leveraging digital tools effectively and understanding patient payment behaviors, providers can enhance their billing processes, improve payment rates and ultimately deliver a more efficient and patient-centered experience.



Jennifer Leon is the vice president of Brightree Patient Collections, where she leads a team of experts in helping providers collect and retain more private pay. She has held a succession of positions enabling her to develop a deep understanding of the private pay collection process, including the best practices for optimal operational performance. Visit brightree.com.