Setting up right expectations with allowable reimbursements
Figuring out the benefits and coverage that a patient is entitled to for particular medical procedures is one of the most important steps.
It gives you a better understanding of the allowable reimbursements that have to be collected from either the patient or the insurances. In a climate where patients have high deductibles, it is important to set up the right expectations from your patient.
Patient doctor relations must not be hampered
Verifying the benefits will tell you whether the services you provide fall under your patient’s insurance plan. So, if your patient has a low premium plan, then their insurance is likely to cover fewer medical services.
Increase Revenue with Accurate Verification
Are you tired of navigating the confusing world of health insurance verification and benefits verification? Let Practolytics take care of it for you!
We understand the importance of proper checks and balances in the patient insurance verification process to avoid revenue leakages caused by errors or incomplete information. Our rigorous documentation protocols ensure HIPAA compliance and our eligibility verification services include verification of payable benefits, co-pays, co-insurance, deductibles, patient policy status, and more, so you can focus on providing quality care.
With our medical insurance eligibility verification services, you’ll receive upfront clarification of the patient’s responsibility, fewer rejections and improved patient satisfaction. Plus, we stay up-to-date with ever-changing insurance policies and regulations.
Outsource your health insurance eligibility verification and insurance benefits verification to us and experience optimal revenue and cash flow. Don’t risk losing out on valuable reimbursements or upsetting patients with unexpected costs!
FAQs about Eligibility and Benefits Verification
How will Practolytics help us in the eligibility process?
We take the appointments from the scheduler 3 days in advance and will provide you the benefit details via email and also the notes will be posted to the PM/EMR system which practice can access.
What if we have add-on patients on the day before or same day of the appointment?
We assist practices on-add on patients within few hours from the time the patient gets added in the scheduler.
What happens when a patient's policy is inactive or their plan doesn’t cover certain services?
Practice will be alerted on these issues few days in advance so that they can contact the patients and make necessary arrangements.
Will we be provided any tool to run eligibility at our end?
The partnered PM/EMR system has real-time eligibility capability and practice will be provided access to this where they can run eligibility within a few seconds.
Do you provide the Eligibility & Benefits by the CPT code?
Yes, we do provide the Eligibility by CPT code, for eg: in Behavioral health we provide the benefits for evaluation, therapy services and TMS services by CPT codes.
Are you on a look out for industry updates?
Stay updated and join the conversation with the latest facts.
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Understanding Eligibility and Benefits Verification: A Guide for Medical Practices
Eligibility and benefits verification is an essential process for healthcare providers to determine a patient's insurance coverage and benefits
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Unwinding the Salient Steps of Insurance Verification
Contacting the payer company to confirm the benefits coverage of your patients and determine
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Health Insurance Eligibility Verification Guide and Process
In the healthcare industry, insurance eligibility verification is a crucial process that healthcare providers must perform
