Ineffective eligibility and benefits verification and/or prior authorization processes can result in increased claim denials, delayed payments, additional effort on rework, delays in patient access to care, decreased patient satisfaction, and non-payment of claims.
NF2 Healthcare brings you a team of experts to help you accelerate your client’s accounts receivable cycle. We confirm the patient’s eligibility and obtain necessary prior authorization before the patient visits the physician’s office.
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Our team members will do the following as a part of the verification processes:
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Receive patient schedule from the healthcare provider’s office – hospital and/or clinic
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Perform entry of patient demographic information
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Verify coverage of benefits with the patient’s primary and secondary payers:
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Coverage – whether the patient has valid coverage on the date of service
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Benefit options – patient responsibility for copays, coinsurance, and deductibles
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Where required, the team will initiate prior authorization requests and obtain approval for the treatment
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Update the hospital’s revenue cycle system or the patient’s practice management system with the details obtained from the payers
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