Patient Eligibility Verification
Assisting providers in submitting clean claims, our team ensures accuracy and efficiency in the billing process, minimizing denials and maximizing reimbursements. We streamline your workflow, allowing you to focus more on patient care.
Patient Eligibility Verification
Assisting providers in submitting clean claims, our team ensures accuracy and efficiency in the billing process, minimizing denials and maximizing reimbursements. We streamline your workflow, allowing you to focus more on patient care.
We provide specialized services for numerous medical specialties across 15 states in the USA. Avail our services today!
Our Pre-Authorization and Eligibility Verification services are all you’ll ever need!
Patient Eligibility Verification is a crucial initial step in revenue cycle management, enabling medical practices to determine if a patient is eligible for treatment. This process includes a detailed breakdown of benefits, verifying if the healthcare service is covered by the patient’s insurance, and checking additional benefit options such as copays, deductibles, and coinsurance.
Effective Eligibility Verification is essential for the overall success of a medical practice. Reports indicate that approximately 70-75% of claim denials occur due to errors or mistakes in patient eligibility verification by healthcare providers. This highlights that many practices still do not adequately prioritize their eligibility verification processes, resulting in claim delays and denials. However, at JP Health Cure, we provide a solution. Our Eligibility Verification services for physicians and private practices are designed to give you a competitive edge in the medical billing domain.
Eligibility Verification is More Important Than You Might Think!
Many physicians and private practices view eligibility verification as a formality, often overshadowing its importance compared to other steps in the revenue cycle management system. This oversight leads to the highest rates of claim denials, primarily due to mistakes in patient eligibility verification. To make matters worse, these claim denials are often non-appealable and irreversible, falling into the category of hard denials. Consequently, medical practices face significant monetary costs and a severely negative impact on their overall reputation.
Eligibility Verification is More Important Than You Might Think!
Many physicians and private practices view eligibility verification as a formality, often overshadowing its importance compared to other steps in the revenue cycle management system. This oversight leads to the highest rates of claim denials, primarily due to mistakes in patient eligibility verification. To make matters worse, these claim denials are often non-appealable and irreversible, falling into the category of hard denials. Consequently, medical practices face significant monetary costs and a severely negative impact on their overall reputation.
We work with these EHRs
Our medical billing specialists are proficient with all EHR systems, enabling us to help you submit clean claims regardless of the EHR you use, ensuring a hassle-free and efficient billing process for your healthcare facility.
Eligibility Verification FAQs
Medical practices have to make sure that the healthcare services they’re offering are actually covered by the patient’s insurance. This is why they have to perform eligibility verification for the purpose.
APEX MD Billing is a professional RCM Billing company that ensures proper eligibility verification and breakdown of benefits for medical practices to avoid any chance of claim denials affecting a practice’s overall revenue.
The term Breakdown of Benefits (BOB) is used to represent the act of checking for co-pays, deductibles, coinsurances (%), or other non-covered amounts that are to be paid to medical practice or physicians by patients.
The usual time required for verification of benefits takes 20 minutes. However, it is recommended that you get in contact with the payer 72 hours before the appointment of the patient.