Friday, December 11, 2015

Eligibility Management for SSID Candidates

These candidates are possible clients for your hospital or health care institution, this is why having an eligibility management service tasked to lessen the process of claiming revenue from the eligible candidate and the health insurance providers that they have applied under. Having a system that manages these claims and supplements the existing revenue cycle management system of a hospital or healthcare provider makes claiming smoother and increases the revenue wholly in a short period of time.

Outsourcing Help for Revenue Cycle Management Operations

Outsourcing has become one of the biggest ways that a company goes on with its operation. It is no different from hospitals and healthcare providers. They employ outsourced services for some of their tasks such as some of the administrative work that they process. Outsourcing a part or a whole operation solely depends on the company, but outsourced services are flexible in providing, no matter what the services are required of them.

Monday, December 7, 2015

Eligibility for Medicaid: How Improving Your RCM Can Help

Medicaid is a state-administered program that covers the medical expenses of individuals with low income. With the passage of the Obamacare Act, the minimum eligibility for Medicaid has been set at 133% of the federal poverty level. While most individuals would rejoice at the approval of this Act, it can prove to be quite challenging for healthcare providers.

The Need to Ensure Patient Eligibility

One problem that weakens a hospital’s revenue cycle management is the failure to ensure patient eligibility for insurance. Because many practices don’t have the time to gather insurance information when a patient calls to set up an appointment, the risk of claims being denied is higher. In fact, thousands of claims are denied due to eligibility issues, thereby affecting the hospital’s revenue. This is why it’s important for hospitals to find a partner who can do this task for them.