Eligibility Verification Services To Achieve Optimal And Timely Reimbursement

By Author: Outsource Strategies International
Total Articles: 108
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To ensure maximum reimbursement, medical facilities have to confirm the
eligibility of the patient’s insurance and benefit coverage before starting any
treatment procedures. Medical insurance verification procedures are lengthy and
time consuming, and often healthcare experts may not get enough time to complete
these processes promptly. Accurate insurance eligibility verification services
from reliable outsourcing companies is the best option if you are looking to
submit claims on time and achieve optimal and timely reimbursement.



Ensures Accurate Claims and Optimal Reimbursement Benefits



Often, improper verification of patients’ insurance and benefit coverage is the
major factor that contributes to denial of claims and delayed payments.
Outsourcing insurance benefit verification tasks to a leading medical billing
outsourcing company will certainly help you obtain maximum reimbursement on
time. Organized insurance verification services also ensure the following
additional benefits:

Reduce ...
... time spent following up on claims
Increase the number of clean claims
Improve patient satisfaction
Reduce time spent following up on claims
Improve patient care
Reduce lost revenue in collections
Reduce rejections and denials
Reduce overhead – 30% to 40% below operational costs

Wide Spectrum of Medical Insurance Verification Services



To provide quality insurance eligibility verification services, most
professional outsourcing companies maintain advanced infrastructure, the latest
software packages and knowledgeable experts. The insurance verification
specialists in these firms verify each and every aspect of insurance coverage,
check for policy changes and updates, validate patient information with the
insurance provider, and complete the entire paperwork efficiently. The most
important factors that are verified to determine the eligibility and acceptance
of the claim, as well as to prevent insurance denials include:

Patient policy status
Claims mailing address
Type of plan and coverage details
Co-pays
Deductibles
Co-insurances
Referrals and pre-authorizations
Effective date
Payable benefits
Plan exclusions

To confirm the insurance eligibility, they also perform additional health
insurance verification services such as:

Contacting patients for additional information
Updating the billing system with eligibility and verification details
Receiving schedules from the hospital via EDI, email or fax

Customized Solutions at Competitive Charges



Competent service providers ensure remarkable quality assurance and accurate
services. Other features that distinguish them include:

HIPAA compliance
24X7 professional support
Free trial offer
Competitive pricing
Fast turnaround time

Healthcare entities planning to outsource healthcare insurance verification
tasks must take care to select a dependable medical billing company. This would
ensure customized and comprehensive insurance eligibility verification services
that could obviously allow you achieve optimal and timely reimbursement
benefits, which would definitely enhance the overall efficiency and productivity
of your healthcare practice at reduced operational costs.



About The Author



Outsource Strategies International (OSI) offers
medical billing services, focusing on every aspect of the medical
billing / patient cycle. Our cutting edge HIPAA-compliant technologies, web
based software, trained staff and strict quality control processes ensure timely
and efficient
medical billing service.

Outsource Strategies International (OSI) provides medical billing & coding, dental billing & coding, insurance & eligibility verifications to medical and dental practices.