Articles Tagged With: eligibility
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Data Are the Key to Avoiding Claims Denials
Claims denials have increased by 11% nationally since the onset of the COVID-19 pandemic, according to an analysis. Almost half of claims denials are caused by front-end revenue cycle issues, including registration/eligibility, authorization, or service not covered. Implementing a process to check eligibility at multiple points throughout the revenue cycle will go a long way in preventing this common denial from occurring.
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Revenue Cycle Staff Keeps ‘Financial Toxicity’ from Harming Patients
Patients often are left alone to navigate the complex healthcare system, which can cause problems. The most successful financial navigation programs direct healthcare providers and staff to work together to address patients’ needs from the time they enter the system to after discharge.
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Many Skeptical Patients Do Meet Financial Assistance Criteria
Millions of people are uninsured, unemployed, and unable to pay their hospital bills. Patient access is stepping in to offer all kinds of help.
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More Patients Newly Eligible for Medicaid; Many Unaware
Medicaid has expanded in many states so previously uninsured patients can access coverage. However, many may not be aware they qualify. Learn how one health system helps eligible patients enroll.
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Counseling on Contraceptive Use for Patients With Coexisting Medical Conditions
The American College of Obstetricians and Gynecologists has released a practice bulletin to help providers use scientific evidence to guide women with coexisting medical conditions in making the most effective choices.
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Avoid Lost Revenue Caused by Insurance Eligibility Mistakes
Patient access staff can interpret responses from insurance eligibility software incorrectly, causing lost revenue. This article provides tips to help prevent mistakes.
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Presumptive eligibility is big revenue producer
Patient access staff at Unity Point Health System — Rock Island (IL) occasionally see patients who reside in Iowa. There is a marked difference in how self-pays are handled in the two states. The reason is that Iowa offers a larger eligibility criteria for presumptive eligibility, which “has been a big revenue producer and a godsend for a lot of patients.”