Best Automated Practices for Patient Access
The efficiencies recognized and benefits enjoyed by automating each function within patient access during the onboarding process include increasing revenue captured, savings or redirection of front and back-office professionals’ time, reduction in denied claims and follow-up, and a vast improvement to the patient experience.
Insurance Verification and Benefits
Automated insurance verification solutions are among the most valuable technologies that a radiology group or imaging center can implement to enhance their patient access workflow. Accurate and immediate verification of a patient’s eligibility is paramount in kicking off the entire reimbursement process. With automated eligibility and remaining benefits verification, your admissions professionals can proceed with efficient scheduling meeting the patient’s needs quickly.
As the basis for any efficient RCM system, the patient insurance information should be gathered thoroughly with copies of insurance cards and ID’s becoming part of the patient’s permanent records and double-checked at each visit. Today’s automated processes allow the insurance to be verified before the patient’s visit and, again, when the patient arrives to ensure that no changes in eligibility have occurred and an up-to-date remaining deductible amount is obtained.
Additionally, insurance verification and eligibility through an automated software solution not only greatly reduces the administrative burden of manual verifications, but also can be integrated with prior authorization and patient pay functions. A verification solution will reduce denials rate, significantly cut down on A/R days, allowing staff to be reallocated to more patient-centric positions.
But there is also another equally important process that takes place during this initial scheduling phase – educating the patient on the practice’s financial policies, including payment expectations, cancellation policies, collections procedures, and missed appointment charges. You will have other opportunities to reinforce your practice guidelines, but it’s important to convey the information upfront.