Reverification is often treated as a volume problem: identify the patients, rerun eligibility, and get through the work before January arrives. But many of the problems that surface during reverification begin before the first transaction is ever sent.
In this solo Office Hours session, Stuart Newsome will examine the decisions organizations should make before the work begins. We’ll look at how to define the population that actually needs reverification, determine what eligibility and benefit information matters to the workflow, and decide which changes require follow-up.
We’ll also explore what “complete” really means. A reverification may return a result, but if that information changes patient responsibility, network status, referrals, or prior authorization requirements, someone still has to act on it.
The goal is not simply to process more cases. It is to design a reverification strategy that produces the right information and gets it to the right people before it becomes a patient access or revenue cycle problem.
Learning Objectives
By the end of this session, attendees will be able to:
- Define which patients and scheduled services should be included in a reverification strategy rather than treating every case the same.
- Determine what eligibility and benefit information is actually needed to support patient access, scheduling, estimates, referrals, or prior authorization workflows.
- Establish clear ownership and next-step expectations when reverification results uncover a change that requires action.