Patient Access Impact
Revenue Cycle Impact
Hospital Financial Impact
The thing I like about AccuReg is it can actually tell us which issue we have the most problem with, and then (it) gives us the information for actually solving it.
Director of Patient Access, Goshen Health
It’s time to stop managing denials and start preventing them.
Mistakes made during the patient registration process leave unrealized net revenue on the table. Even a single-digit denial rate still results in tens of thousands of denied claims annually for large health systems. Denials are a persistent problem, with up to 1 in 5 claims delayed or denied. All of these medical claims have to be reworked or appealed. Reworking them costs an average of $118 per claim.
Your denials management process may imply denials are coming from the clinical side, but more often they’re the result of registration information not being processed correctly. The top four areas causing first pass denials are:
Value of denials avoided annually by AccuReg clients
Up to 70% of all denials are front-end-caused and very predictable, and therefore, are preventable—if the registrar is alerted to each payment risk and given guidance to resolve it prior to service. AccuReg audits and alerts front-end staff at four opportunity points: ordering, scheduling, patient arrival, and registration.
Up to 70% of all denials are front-end-caused, very predictable, and preventable
Most hospitals’ top denial cause is eligibility-related, despite having a real-time eligibility (RTE) system. AccuReg goes beyond RTE, by auditing every account based on known denial patterns and each facility’s unique payer rules. This is what sets us apart. Without intelligence-driven auditing and individual registrar accountability, RTE is just data. We turn it into Front-End Payment Intelligence™.