Time is of the essence, especially in the healthcare industry. Between creating patient notes, maintaining patient records, and trying to reduce the risk of data errors, providing effective patient care can often get side-lined. This is where our pre-charting experts come in.
If you are a general physician, a doctor, or you run a chain of hospitals, you understand how daunting the tasks of maintaining and updating patients' information can be. You may often need help with time management, record-keeping, communication, patient engagement, and documentation. What if we told you we could help take care of those tasks while you focus on what you do best – Providing Better Patient Care?
Our Pre-charting services at Medical Billing Experts are geared towards enabling medical organizations and general physicians like you to save time and optimize efficiency. In turn, helping you streamline these processes and create a long-lasting doctor-patient relationship through a better patient experience.
With our Pre-charting services, you no longer need to juggle between finding patients’ records and providing care. We’ll ensure your patient’s medical history is documented and prepopulated as EMRs ahead of your Doctor-Patient meeting, helping you save time and stay ahead of the game.
When you have a team of reliable resources collecting and organizing patient information prior to a patient's visit, you relieve yourself from the stress of documentation, giving you more time to focus on your patients and provide adequate care.
In Addition to improving and maximizing Quality Doctor-Patient time, our Pre-charting solutions will help you go from constant crunch to minimal interruptions by elevating your clinical workload.
Outsourcing pre-charting solutions can improve efficiency by reducing the time and resources required to complete pre-charting tasks and focusing on providing patient care, leading to better patient outcomes.
By outsourcing pre-charting solutions to us, you can eliminate the need to hire and train in-house, thereby reducing labor costs.
With Pre-charting solutions powered by automation, we ensure the accuracy of patient information, which facilitates precise diagnoses and better treatment decisions.
Our Pre-charting solutions will help you offer your patients a seamless and positive experience. By having accurate and up-to-date patient information readily available, you can address patients' concerns more efficiently and provide more personalized care.
Our experience in regulatory compliance will give you confidence that your patient information is handled appropriately. And you can rest easy knowing that we will always help you comply with regulations, such as HIPAA (Health Insurance Portability and Accountability Act).
When you choose Medical Billing Experts to help you with Pre-charting, we take the time to understand your needs and design solutions to streamline collecting and organizing patient information. Hence, you always provide the best care to your patients.
Our solutions include the following:
"Our decision to outsource insurance eligibility verification services to MedBillingExperts helped us tackle the delays in reimbursements. As a key step in medical billing and coding, they took care of the verification and pre authorization processes effortlessly. The team understood the complexities involved in insurance claim reimbursements and provided us accurate patient verification and flexible solutions to suit our requirement. Thanks to the team, we have streamlined the insurance verification process and we now focus more on our core competencies."
"The many steps involved in claims verification services can slow down your business. But when you choose to outsource insurance eligibility verification services, you get better turnarounds. We choose MedBillingExperts as we had read reviews online and our decision has helped streamline our revenue cycle. The dedicated billing and medical coding team has gone the extra mile to pre-authorize and validate the patient information and give clear and concise data- a requisite to prevent delays and denials. This reaffirmed our faith in a well-acclaimed brand that stands for diligence and has years of experience in offering insurance verification services to global clients".
Insurance verification is the process of contacting the insurance company to determine whether a patient's medical insurance coverage and health benefits cover the required procedures and treatments or not. Some of the information that the healthcare provider requires includes demographic data, policy limitations, benefits or co-pays involved, coverage and deductibles, and restrictions and prior authorization for treatments from the appropriate sources. Insurance verification is critical in revenue cycle management, as without adequate coverage, medical services may be provided, but never paid for. Insurance verification is key to determining how much money is owed for each type of service provided, as well as which individual or entity is responsible for paying it off.
The cost will vary according to the scope and complexity of the work. We can fix a price either per FTE or per transaction. The more time it takes to complete a transaction, the higher the cost. Additionally, we can also provide a 1-week trial period without any costs involved, upon which we can mutually agree on the pricing.
Healthcare insurance verification results in better cashflow as claims are quickly processed and accepted, thus eliminating write-offs and claims denials. Also, if the eligibility verification process is smooth, eligibility responses can be concisely and consistently viewed. This means that the eligibility verification results are attained more efficiently, leading to fewer denials and misallocation of resources. Finally, outsourcing healthcare insurance verification results in faster billing cycles because of reduced payment delays that are caused by claims denials.
Insurance verification should ideally be conducted prior to the patient visiting the medical care facility for treatment or medical procedures. This way, the healthcare provider and the patient are both aware of their financial responsibilities and whether coverage is in fact in place for the treatment. Without proper insurance verification and coverage, all medical claims may be denied, and payment must come out of the patient’s pockets.
Some reasons for claims rejections post insurance verification include inactive patient coverage, changed insurance plans or providers, medical services covered are non-covered benefits, patient insurance involves out-of-network coverage, or the medical services provided needed pre-authorization.
All eligibility checks are made through a variety of ways. Eligibility checks made over the phone require that our experts only speak to human representatives because automated systems do not always provide reliable or complete patient information. Checking the insurance carrier’s website is another way to determine coverage. Finally, some clearinghouses and practice management systems are capable of verifying patient eligibility on your behalf as well.
There are many medical insurance verification software in the market that can deliver results instantaneously (in real-time) or take just a few seconds depending on which software you choose to use. Alternatively, detailed insurance verifications by phone will take approximately 30 minutes.
Insurance verification is usually triggered when medical services or procedures are required during a hospital or healthcare practice visit. Medical insurance verification can obtain critical patient information from the number of visits left to the deductible amounts involved. Ideally, insurance benefits should be verified at least once a year, particularly when the insurance plan changes or is due for renewal.
Our experts access online verification portals or call the insurer to get the necessary patient information to put in a medical claim. Our team verifies benefits and procedure-specific coverage and also obtains all the required referrals and authorizations. Some of the details we ensure that we verify include payable benefits, deductibles, type of plan, and effective dates. We also check the co-insurance, coverage details, patient policy status, plan exclusions, DME reimbursements, out-of-network benefits, and health insurance caps involved.
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