With healthcare being linked to insurance in most cases, it is important to verify eligibility to ensure lower denials. At the pace with which administrative procedures are executed in healthcare, it is highly possible that incorrect or insufficient information is updated during billing. This results in a tedious and entirely avoidable process of denials and delays in clearance of claims. We take a closer look at the benefits of proper insurance eligibility verification in medical practice.
Reducing chances of claim denials and delays
Submission of incorrect, or inadequate information can be resulting in claim denials and unfortunate delays. This results in greatly impacting the flow of revenue in a negative manner. It is vital that bills and claims are accepted upfront without a round of delays that may play havoc with planned disbursals. This can be achieved through a process of proper verification of all information, and diligent cross checking prior to submission.
Reduce exposure to losses as a result of conclusive denials
An improper submission of bills and claims can often lead to a conclusive denial. Such instances of write off do occur as a result of practices that are not fully compliant with procedures. There is very little that can be done after write offs, and this can have a serious detrimental effect on financial health. ‘Prevention is better than cure’ is the adage to be followed in healthcare, and it is only natural that this extends to all areas of operations in a healthcare entity.
Staying abreast of policy changes of insurance companies
Insurance companies, like all other sectors often make changes in policy. These updates need to be factored into the verification process to ensure that the changed requirements are fully met. This will ensure that the claims result in securing reimbursement as sought. Staying abreast of changes also ensures that the least amount of time is spent on billing and receipt of claims.
Verifying insurance eligibility will help restrict unproductive actions and contribute to overall success of the organization. Streamlined processes followed as per updated procedures help to maintain efficiency and revenue flow.
e-care has great expertise in handling Insurance Eligibility and Benefit verification with all types of payers across States hence can help you to lower the denials and increase reimbursement.