Healthcare providers must confirm each patient's eligibility and benefits prior to the patient's visit in order to be paid for the services provided. According to some estimates, the reason for the denial of up to 75% of claims is that the patient is not qualified for the services that the healthcare practitioner provides. Regretfully, it is among the revenue cycle chain's most overlooked procedures.
Inefficient procedures for determining eligibility, benefits, and/or prior authorization may lead to a rise in claim rejections, postponed payments, more labor on rework, delayed patient access to care, worse patient satisfaction, and nonpayment of claims.
Our Services
A professional staff is available to you through Medical Billing to assist you shorten your client's accounts receivable cycle. Before the patient leaves for the doctor's office, we make sure they are eligible and get the required prior authorization.