Verifying patient eligibility is incredibly important to your bottom line. Providers depend on revenue generated patient care. When services are rendered to an ineligible patient, providers will have a much harder time getting paid. Manual verification processes are notoriously time-consuming and unreliable. Your front-line staff spends too much of their time tracking down payer information and determining eligibility, often resulting in a lack of coverage.
Providers need automated patient eligibility checks to protect their payment, better help their patients, and improve the patient billing experience. Keep reading to learn more about automated patient eligibility checks and how your practice can benefit from the right tools.
Benefits of Automated Patient Eligibility Checks
Your front-line staff is historically responsible for manual verification. This means like a member of your team is tasked with verifying patient eligibility. This involves calling their insurance company to verify that the information the patient provided is correct and that the services they are requesting are covered. With automated patient eligibility checks, your staff and better manage and use their time. Rather than spending hours of their day chasing down payer information, they can focus on more patient critical tasks. Automated tools ensure that your team still has the information you need right away.
Streamline Check-in and Billing
Automated patient eligibility is completed at check-in. Having this information automatically, at the start of the visit, streamlines the check-in and billing processes. Once coverage is verified, providers can proceed with their planned visit and have peace-of-mind that their payment is on the way. Should a patient not be covered for services, they can learn more about what their out-of-pocket cost will be for their visit. This creates transparency throughout the billing process that patients love to see from their providers.
Simplify Claims Management
Implementing an automated patient eligibility checking tool will also help simplify claims management within your organization. Denials are the number one cause of delayed payment. With known eligibility, providers can improve their clean claims and decrease their overall number of denials. More clean claims mean more payments for your practice.
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Increase Patient Payments
Automated patient eligibility verification also helps to bring in more patient payments. This tool creates transparency in the cost of care at the start of a visit. Rather than be caught off guard by the cost of their care, patients can better prepare. Transparency throughout the medical billing process is what helps your patients feel confident in their ability to pay those bills. Should a patient find that the cost of services equals too much, other options can be discussed with their provider. Either way, this tool improves the patient experience and keeps your accounts out of A/R.
With automated patient eligibility checks, your practice can better manage its time, streamline the check-in and billing processes, simplify claims management, and increase patient payments. To learn more about an automated solution that can help your practice grow its bottom line, click here.