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Real-Time Insurance Eligibility Integration: Maximizing Registration QA Efficiency

Learn about the essentials of insurance eligibility verification and immediate feedback for accurate registration QA beyond standard processes. Enhance efficiency with HL7 integration and resolve common discrepancies effectively.

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Real-Time Insurance Eligibility Integration: Maximizing Registration QA Efficiency

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Presentation Transcript

  1. Registration QA What Do We Need To Know Al Mulaomerovic COO- Loxogon, Inc.

  2. Real Time Integration via HL7

  3. Insurance Eligibility Is Must • Select proper insurance plan • Medicare Managed Care • Medicaid Managed care • PPO vs. HMO

  4. Policy Number Discrepancy • DOB Discrepancy • Group Number Discrepancy

  5. Immediate Feed Back

  6. Profile Manager- Work List • Ability to create multiple profiles for users • Ability to select multiple or single alert • Ability to assign profile templates to multiple users

  7. Registration QA beyond Registration • POS Collection • Medical Necessity • Physicians Orders • Charity Assessment

  8. Reports • Don’t Measure Mistakes • Measure Timely Solutions

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