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Fraudulent patient claims and false cases are on the rise, eligibility authorization stands as a top priority.

JoeWeing avatar
JoeWeing
11 diapositives · 168 Views · Feb 15, 2017


Healthcare insurance business landscape has changed, like developing monetary obligation of Patient Eligibility through Independent Insurance Verification Services with high deductibles. For more details about Independent Verification Services, visit goo.gl/4qjAAU OR Call us on 866-767-7019 (Toll-Free).

#Outsourcing Prior Authorization Services #Outsourcing Prior Authorization #Outsourcing Insurance Verification #Outsourcing Eligibility Authorization #Insurance Verification #Eligibility Authorization Services
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Fraudulent patient claims and false cases are on the rise, eligibility authorization stands as a top priority.
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  1. Determining Patient Eligibility through Independent Verification Services Presented By Insurance Verification Specialist Call Us at 866-767-7019 (Toll Free)

  2. Introduction • One of the most important components of medical billing is insurance verification. • We at IVS, provide insurance verification services that are focused on reducing claim denials, and ensuring reimbursement. • Essentially, we take the drudge work out of insurance claims for you. • If you find that verifying insurance claims is taking up time and using staff resources that could be allocated elsewhere, outsourcing your insurance verification services could be the ideal solution. Call Us at 866-767-7019 (Toll Free) www.insuranceverificationspecialist.com

  3. Call Us at 866-767-7019 (Toll Free) www.insuranceverificationspecialist.com

  4. Verification Process Incorporated by Payers • Online - Using different Insurance organization sites and web payer portals, one can easily check patient qualification. • Automated Voice Recognition (IVR) – This procedure utilizes an automated machine response that tells you the eligibility status of the patient by punching in the correct details. • Insurance agency Representative Call - If necessary, calling an insurance agency agent can provide the payers a point by point benefit details for specific procedure when not accessible from either the website or automated telephone system. Call Us at 866-767-7019 (Toll Free) www.insuranceverificationspecialist.com

  5. Strategies to Check Patient Qualification • Business-to-business (B2B) confirmation, which empowers practices to electronically check patient eligibility utilizing electronic data exchange (EDI) by means of their electronic health record (EHR) and practice management arrangements. • Looking for patient eligibility on the payer website. Call Us at 866-767-7019 (Toll Free) www.insuranceverificationspecialist.com

  6. How Does Outsourcing Reduce Costs? • Call payers to decide qualification for more complex situations, such as, coverage of specific procedures and administrations, determining the maximum coverage in a full calendar year, or if administrations are covered if they occur in the doctor’s office or diagnosis center. Clearinghouses don't provide the practitioner with these details. And in such a scenario giving this undertaking to an outsourced insurance verification agencycan serve as the best option for your process. Call Us at 866-767-7019 (Toll Free) www.insuranceverificationspecialist.com

  7. Determining Patient’s Monetary Duties • High deductibles • out-of-pocket limits • Making patients understand about their money related obligations before delivering services • Instructing them on the amount they'll have to pay and when. Call Us at 866-767-7019 (Toll Free) www.insuranceverificationspecialist.com

  8. How Can Outsourcing Improve the Quality of Work for Insurance Verification Service? • Doctors can get transcribed documents in quick turnaround time • 24*7 professional services enable Doctors to meet tight deadlines • Increase cash collections by reducing write-offs and denials • Increased number of clean claims and Improve Account Receivable Call Us at 866-767-7019 (Toll Free) www.insuranceverificationspecialist.com

  9. We Specialize in • Insurance Verification / Eligibility authorization • Medical Billing • AR follow-up • Charge Capture • Claims Generation • Collections • Records Management • Medical Transcription Call Us at 866-767-7019 (Toll Free) www.insuranceverificationspecialist.com

  10. Features Service Provider • Detailed call log for every patient. • 45 calls monthly average. • Authorization done 3 days prior to visit. • We are committed to comply Health Insurance Portability and Accountability Act (HIPAA) of 1996. • Assured cost savings up to 40% compared to having in house staff doing insurance verification. • Outsourcing the work to certified outsourced independent insurance verification agency can help a lot in resolving many claims related issues. Call Us at 866-767-7019 (Toll Free) www.insuranceverificationspecialist.com

  11. Follow Us On Contact : goo.gl/Eedcg3 Call Us at 866-767-7019 (Toll Free) www.insuranceverificationspecialist.com