WEEKLY RCM RECON
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There are 3 key questions when planning your prior authorization strategy – can your software determine if an authorization is required, initiate the request, and notify your payers of inpatient admission?
Whether you want to enable web and mobile access to diagnostic tools, connect with patients and payers, or access more accurate and up-to-date revenue cycle content, APIs make it easier to interact with your audience.
Verifying eligibility at registration with basic ‘Yes or No’ isn’t cutting it. You must re-check eligibility throughout the entire care process, from scheduling services to submitting the claim.
Combining Propensity to Pay, Financial Aid Determination and Address Verification increases registration accuracy, decreases denials, and reduces costly lost and unpaid billing statements.
Healthcare providers can gain tremendously from automating prior authorization screening and verification. But not all vendors are created equal. Use this checklist to evaluate your strategy.
To best support financial counselors, you should invest in automated estimation so their valuable time isn’t spent calculating costs, but instead on engaging patients with payment plans and financial assistance programs.