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To obtain timely and accurate data regarding every patient’s insurance coverage, the processing of eligibility and verification of insurance benefits is critical. Eligibility and verification processes also allow you to ascertain every patient’s financial responsibility toward the healthcare services you provide as well as clarity on each patient’s out-of-network benefits.
Many medical practices fail to perform this function effectively either due to lack of process knowledge or a lack of time due to front desk staff overwhelmed with a hectic patient schedule, thereby resulting in workflow delays in the waiting room as well as in the back-office clinic for the providers. In addition to workflow delays, incorrect insurance eligibility information could cause delays in reimbursement or even unnegotiable payment denials.
By properly executing eligibility and verification checks on a daily basis prior to the clinic opening, as Avosina does for all of its clients, enables the submission of first-pass clean claims that get paid on time and in full by payers. This process avoids the need for claim re-submission, a decrease rejections and denials due to a lack of eligibility or improper demographics, and a maximization of front-end collections. With less touch points and rapid turnaround, you enhance your cash flow, optimize reimbursements, and increase patient satisfaction all at once.
We’re on a mission to fully harness the robust internal infrastructure of our RCM and IT expertise coupled with our vast external professional healthcare management and leadership networks in order to continually maximize our clients profits and drive the development of prosperous, hassle-free private practice independence.
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