<\/span><\/h2>\n <\/p>\n
You want to admit as many referrals as you can and fill your facility\u2019s beds; but many times, the projected expenses of the patient\u2019s care seem to outweigh your room and board rate. You may feel that it will be more profitable to deny an admission based on high cost needs, be it expensive drugs or wound therapy.<\/p>\n
However, it\u2019s important to do due diligence before denying any admission. Research each case and never take the numbers at face value. Are there carve-outs you can utilize to offset some of the high expenses? Does your contract with this specific payer allow for any exclusions for high-cost drugs or lab? Pre-negotiating good contracts with each payer that include the common carve-outs and exclusions will allow you to accept even high-expense patients.<\/p>\n
<\/p>\n