How to make your eligibility verification process more efficient - PowerPoint PPT Presentation

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How to make your eligibility verification process more efficient

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Enable and access the library of insurance eligibility verification best practices to lower average AR days for better revenue cycle solutions – PowerPoint PPT presentation

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Title: How to make your eligibility verification process more efficient


1
How to Increase the Efficiency of Your Healthcare
Organizations Revenue Cycle Management?
www.mgsionline.com
2
Introduction
  • Revenue cycle management has an important role in
    the healthcare industry. The revenue cycle
    process includes claim management, accounts
    receivables and revenue production.
  • RCM always guarantees the accuracy and idealness
    of claims. It is important that any healthcare
    organization should have proper revenue cycle
    management system for successful and profitable
    business.
  • Growing challenges of rising provider cost,
    unpredictable healthcare market and patient
    obligation may appear to be unconquerable however
    that is why the revenue cycle is so significant.

www.mgsionline.com
3
  • Revenue cycle management is progressively
    evolving under a developing value-based approach
    to care as well in an age of digital technology
    and physicians from single specialist practices
    to hospitals are rapidly figuring out how to
    adapt.
  • If you want to improve your operations and
    increase claims reimbursement rates, here are few
    strategies to increase the productivity of your
    Revenue cycle management.

www.mgsionline.com
4
Implement Supporting Technology
  • Implementing supporting technology for workflow
    optimization, guarantees consistent transition of
    claims between staff members over the front end
    and back end revenue cycle processes.
  • It also smoothest out handoff points between
    various revenue cycle and concentrates on
    improving process flow and imply standardized
    metrics, for example, Denial rate, Days payment
    outstanding/ AR days to increase billing
    collections.

www.mgsionline.com
5
Focus on reworking claims
  • A few practices focus only on new claims coming
    in and are unwary of the fact that the older
    denied or rejected claims are taking a back seat
    affecting the cash flow, If you dont review
    these denied claims you wont take full advantage
    of your revenue cycle.
  • The longer it takes for a denied claim to be
    analyzed and resubmitted, the more it ages, and
    your practice will keep on passing up repayment
    from services provided.
  • To prioritize and effectively handle denial
    management, start by making an ideal arrangement
    for your billing team to proactively catch up on
    denied claims.
  • By having a smoothed out procedure for
    distinguishing common errors, you can guarantee
    revenue isnt lost.

www.mgsionline.com
6
Track Revenue Cycle Management
  • Tracking Healthcare Revenue cycle management is
    fundamental for clinical practices to effectively
    analyze the key performance indicators (KPI). The
    following KPI needs to be tracked for improved
    revenue
  • Day sale outstanding
  • Clean claim rate
  • Billing collection percentage
  • Denial write-off percentage
  • These KPIs and other information ought to be
    imparted to all staff that is associated with the
    revenue cycle. This helps non-clinical staff
    better comprehend the procedure and improve
    productivity. Ensuring individuals handling
    claims comprehend the revenue cycle and are
    motivated to diminish costs and improve results.

www.mgsionline.com
7
About MGSI LLC
  • MGSI is one of the leading medical billing
    companies in Florida.
  • Our company specializes in revenue cycle
    management that includes denial management AR
    follows ups, insurance eligibility verification,
    etc.
  • We also provide anesthesia billing, radiology
    medical billing, cardiology medical billing, etc.
    With our expertise, experienced team of billers
    and coders and improvised technology
  • We provide rapid reimbursement with fewer
    mistakes. Visit us www.mgsionline.com for more
    information about our billing and coding services
    and get a free consultation today.

www.mgsionline.com
8
Contact US
www.mgsionline.com
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