We know that eligibility issues lead to claim denials, which lead to unexpected financial problems for the patient, that then prevent the hospital from getting paid. One thing we pride ourselves on here at AccuReg is the ability to verify insurance eligibility from the beginning of a patient’s process. We promise prompt and complete reimbursements so that your business is not left with unexpected costs.
We empower patient access teams to drive revenue cycle results. Our eligibility verification allows you to get paid while doing less work in nine specific ways:
1. Automated and Manual
With AccuReg Eligibility Verification services, once a patient is registered, the software runs automatically and obtains their insurance eligibility in real-time. However, authorized employees can run manual eligibility verification’s as well if needed.
2. Targeted Responses
We like to make things as quick and easy as possible. That is why eligibility responses are given in the form of quick mini responses, which only show relevant, payer-specific information. Our software also allows our clients to create customized targeted responses based on patient and service type.
3. Full 271 Payer Responses
These responses are stored in AccuReg for future review and can be accessed by registrars, billers, or other authorized employees. Responses can also be exported for use within your facility’s ADT/HIS system.
4. Auditing in Real Time
Being able to audit in real time means insurance and eligibility information will be entered correctly into your facility’s ADT/HIS system. If there happen to be any discrepancies, they are reported back to the registrar for correction.
5. Integrated Workflow
All of AccuReg’s solutions are integrated into one intuitive web-based user interface that enforces quality registrations and collections in a central location.
6. Self-Pay Verification
AccuReg will automatically run eligibility verification on self-pay patients against one or more payers (e.g. Medicare and Medicaid) to identify potential coverage.
7. Coverage Change Screening
AccuReg Eligibility Verification streamlines accounts that are pre-registered during one month and have an admit date in a different month. Our software automatically re-runs during the month of the admit date to identify any coverage changes since pre-registration.
8. Threshold Alerts
Supervisors can choose to set volume and/or frequency thresholds and be alerted via email and/or text message when thresholds are met. This ensures supervisors are kept in the loop throughout the day.
9. Resolution Failure Escalation
Supervisors can choose to be alerted via email and/or text message of unresolved fatal issues giving them a chance to react faster and minimize any harm that may have occurred.
Click here to learn more about AccuReg Eligibility Verification!