Eligibility Authentication: Dealing with PCS Efficiently

One of the major issues faced in medical billing is the patient's eligibility verification. If the correct insurance of the patient is not found, it causes severe issues for the biller, leading to financial, operational, and administrative issues. Provider Concerns Solutions makes sure to solve such issues with great expertise and to keep both providers and patients satisfied.

Common Provider Concerns

Here are some issues that are most commonly faced by the providers

Inaccurate Information

Most of the time providers don’t get the updated data of patients and this thing leads to incorrect claims submission which also leads to denials and rejections.

Excessive Administrative Load

When a patient's information is verified manually then it takes too much time and also the chances of errors are high in such conditions as most of the time the data is not up to date. This thing diverts the attention of staff making them not efficiently available for the patient's care.

Uncertain reimbursements

Without correct patient eligibility information, economic threats due to underpaid and unpaid claims increase.

Patient Dissatisfaction

Due to incorrect patient eligibility information, patients sometimes face denials and unexpected costs like out-of-pocket costs.

Solutions

PCS tries to solve such issues through a multidimensional approach:

Automated Verification Systems

Our systems are assimilated with the insurance database through which we can find the real-time eligibility of the patient making it easy to get the correct information. Also, this saves time for the staff making them readily available for the patients.

Comprehensive Data Integration

Our systems can easily assimilate with the Electronic Health Record (EHR) systems thus making it easy to access patient information and insurance details. Also with the help of our advanced software, patient data can be counter-checked from different sources and this reduces the chances of errors.

Proactive Issue Resolution

With the help of our advanced systems, we can identify potential issues before they appear and thus allow providers to solve such issues. PCS provides you assistance at every corner including all the complex problems.

Financial Risk Management

When the patient's eligibility information is accurate we get maximum reimbursements and also with time. Also, financial issues are resolved by providing all the reports on the financial details of the patient's verification.

Benefit for Providers

Automatic eligibility verification not only saves staff time for patient care but also helps increase the system's efficiency. Thus denials are reduced and patient’s trust in providers also increases.

Reduced financial risk

Timely submission of the claims increases reimbursements and reduces the loss of revenue. Our staff also ensures the government regulations and keeps you safe from different penalties and fines.

Conclusion

In medical billing, finding eligibility is very important and matters a lot in patient satisfaction and smooth provider administration operations. With the help of our advanced and integrated system, the billing process becomes very smooth.

To get more information on how PCS can assist you in medical billing services such as eligibility verification contact us today at +1 (888) 285-2880 or support@providerconcerns.com