Insurance Eligibility Verification Services
Highly Affordable Insurance Verification Services
Insurance eligibility verification is a tricky business. Leaving it in the hands of experts like Scribe4Me can make the entire verification process error-free and hassle-free.services.
Verifying insurance is a crucial step in ensuring timely and accurate reimbursement of claims. Our highly experienced team of insurance verification specialists will take care of all the steps required to ensure that the patient eligibility process is done right the first time.
We at Scribe4Me follow a standardized five-step process to check a patient’s insurance eligibility. Here’s a run through of how we do it.
1.Collect patient’s insurance information
As a first step, insurance verification involves collection of all relevant information such as patient’s demographics, insurance coverage, type of plan, date of commencement and expiry, the status of plan, information about copays and deductibles, plan exclusions and limitations, in or out of network details, referrals or prior authorization, claims mailing address, and so on.
2.Make a copy of the patient’s insurance card
Insurance cards are critical to successfully bill insurance. Hence, an electronic copy of the patient’s insurance card is placed in the practice’s EHR system. This copy serves as an information backup to check for any changes or expiry details. Our insurance eligibility specialists reference this card when calling insurance or entering patient information.
3.Connect with the insurance provider
Now it’s time to contact the insurance provider directly to verify the patient’s current eligibility status. We reach out through phone calls or log in to their online portals and enter the patient’s data to verify their coverage and benefits. However, the electronic eligibility verification setup allows us to automatically verify a patient's insurance, in real time. This not only saves time, but also provides instant and reliable insurance checks.
4.Record complete and accurate information
The next step entails updating all information into the respective patient accounts. This needs to be done with utmost care and diligence. Even a small error in patient data submitted for eligibility verification could result in a costly denial. Our insurance verification specialists are doubly careful while entering all the information to ensure clean claim submissions.
5.Follow-up with patient, if needed
In case of any questions or queries regarding insurance eligibility, we actively follow-up with the patient to obtain any missing or additional insurance information that may be deemed necessary.
Service Highlights
Benefits
Revenue Cycle Management
Are you a healthcare provider under increased pressure to focus on providing care as well as maintaining financial viability? Do you feel overwhelmed with administrative and financial responsibilities? Feel like you are losing pace on follow-ups for efficient collection? Are you short of trained experts to handle the complex maze of RCM? Scribe4Me is here to help you.
Medical Coding
Medical Coding quality holds the key to accurate reimbursements. Scribe4Me has perfected the art of creating accurate and clean claims on the first go. We have a team of AAPC certified, trained medical coders who are proficient in coding rules and can provide accurate and complete coding necessary to optimize reimbursements.
Charge Entry Services
Accurate charges are crucial for claims to pass through the first time and Scribe4Me does it right, each time. It has been stated by insurance companies that 4 out of 10 claim denials are due to clerical errors. Charge Entry is a process of entering medical data to enable claims processing. At Scribe4Me we follow a well-structured Charge Entry Process and ensure that relevant checks are made at each level of the process.
Claims Transmission
Scribe4Me undertakes to do an EDI set-up for those medical practices that wish to get-off paper transaction claims and switch to electronic data interchange (EDI) for claim submission. Submission of the claims through EDI reduces the chances of inaccuracies and errors. Your claims will reach the payer instantly resulting in quicker reimbursements and eliminating claim processing delays.
Payment Posting
We believe that accurate charges contribute to attaining clean submission goals. Scribe4Me offers fast and accurate Payment Posting solutions as a part of the Revenue Cycle Management services and also as a standalone service depending on the client's requirements. Our team of experts has extensive experience in several specialties and in handling a wide range of medical software.
Accounts Receivable Management
We at Scribe4Me understand that Accounts Receivable is an important part of cash flow and requires rigorous follow up. That is why we have a streamlined system in place to control and manage your practice's accounts receivable and recovery. Simply trust the experts for efficiency, and we assure you that all the medical services provided by you will be paid for, fully and promptly.
Denial Management
Scribe4Me helps recoup revenue and maximize reimbursements Denial of medical claims is one of the major issues faced by physicians. Scribe4Me's Denial Management service is designed to perform a root-cause analysis, identify the reason for the denial and take action to resolve it. Most importantly we implement process improvements to stop recurring denials in its tracks.
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