Receiving Patient Information
Verifying Insurance Coverage
Initiating Prior Authorization
Achieve Greater Heights with Confidence in Your Secured Revenue
Ensuring patients’ eligibility and obtaining prior authorization is a complex and ongoing process that operates nearly 365 days a year. Healthcare providers must confirm each patient’s eligibility and benefits before delivering services to facilitate payment collection. Astonishingly, a significant number of claims, potentially up to 75%, face denial due to patient ineligibility for the services provided.
Unfortunately, this essential process often goes overlooked in revenue cycle management. Implementing Prior Authorization in Medical Billing is a strategic step for healthcare organizations to secure appropriate payment for rendered services. This not only reduces denials but also minimizes the need for extensive follow-up.
This critical aspect comes into play during the Insurance eligibility verification process. An inefficient eligibility verification and prior authorization process can lead to heightened claim denials, delayed payments, additional revision efforts, patient care delays, diminished patient satisfaction, and even non-payment of claims. Addressing these challenges through effective eligibility verification and prior authorization procedures is pivotal to ensuring a streamlined revenue cycle and optimal patient care.
Our Eligibility Verification and Prior Authorization Services Bring Profits & Satisfaction
Increased Cash Flow
The claims have a better chance to be approved and processed quickly if eligibility data is up-to-date. That benefits the practices to maintain a reliable cash flow by reducing denials and write-offs and increasing collections.
Patient Satisfaction
A huge patient satisfaction result is a sign given it in the right way from start to end. Interaction, clearness, sympathy, loyalty, and respect are the main capabilities of the providers that they give to patients.
Reduced Denials
Our Eligibility verification and Prior authorization services ensure that there is a smaller number of claim denials and cash flow is faster. After verification, the insurance, and a patient share cover the processes with minimum claims denial.
Reduced Write Offs
The clear purpose of patient responsibilities for payments reduces the patient’s outstanding amount. Our active bad debt management method provides the patient with each feasible financial resource and allows the health systems to effort less on payment.
Get Started Today!
If you’re viewing for a fast, reliable, and efficient service provider to control eligibility verification and prior authorization services. Contact our officials!