Avoid Lost Revenue and Increase Patient Satisfaction with your EHR Real Time Eligibility Software

Successful claim submission and getting paid fairly and on time starts the minute the patient walks in the front door or calls the office. Today, medical practices need to be taking full advantage of simple, affordable software tools that let the front office quickly and accurately register the patient.

Cash Flow and Patient Satisfaction Starts at the Front Office:

Healthcare coverage today has never been in a more challenging spot. Changing plans and high patient deductibles make the job of verifying coverage and benefits extremely important but difficult and time consuming to do.

The best way to combat this challenge is to use the tools built in to your EHR which can verify patient's insurance eligibility in real time providing you with coverage verification and benefits.  A good EHR can automatically verify coverage  for everyone on the schedule a day or two ahead of time, or in real time on a one by one basis with a simple mouse click and an instant response.

Too often practices rely on their front staff to place time consuming phone calls to insurance companies, killing productivity and frustrating patients with needless delays. Or worse yet doing no verification at all leading to a huge spike in denied or delayed payments.

The Average Practice Submits 80 Claims per Day

And yet only slightly more than 50% of a practices accounts receivables are collected after the first 30 days. According to CMS  nearly two thirds of all practice revenue is lost due to billing problems and 30% of all claims are denied or ignored the first time they are submitted. It's estimated that doctors are losing up $125 billion a year due to poor billing practices.

According to the American Association of Professional Coders the top 3 reasons claims are denied are:

  1. Incorrect or Incomplete Patient Information: Patient demographic data,  misspellings , insurance data wrong or incomplete etc.

  2. Insurance Coverage Lapsed: verify before services are rendered

  3. Services Not Covered or Prior Authorization Required

All of these problems are solved using your EHR's real time insurance eligibility verification software

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Patient Satisfaction: 

Billing issues are only part of the problem.  Now that online reviews and patients researching doctors ahead of time  is the new normal, problems at the front office due to inefficiencies and dysfunction can damage a practices reputation driving away new patients.  An article published in the Journal of Medical Practice Management found that 96% of patient complaints are related to customer care and only 4% were related to the quality of care.

Real time medical insurance eligibility verification software streamlines the entire front office process - decisions on eligibility, coverage and benefits with most if not all commercial and government payers including Medicaid. Instantaneous checking greatly reduces scenarios where a patient's plan expire before the time of the appointment or a carrier not covering a particular procedure.

In the case of the MediTouch EHR, our medical eligibility verification tool not only provides all of the necessary information, but we can also create the patients chart right from the eligibility check eliminating data entry errors and ensuring the accuracy of the data entered.



CONCLUSION:

Utilizing the software eligibility tools in your EHR or implementing a new EHR that contains them will make your front staff substantially more productive, with fewer denials and increased cash flow. And perhaps best of all your patients will be happier, better customer service = a healthier practice and a better business!

Looking for an EHR that has best-in-class software eligibility verification?
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AVS Medical

Written by AVS Medical