Patient Insurance Eligibility Verification is the top of hospitals bolt-on RCM solution shopping list." says CapSite Sr. VP and GM, Gino Johnson.
Most EHR solutions are really challenging the decipherability of the insurance benefit statements due to the toting up of some unnecessary data, in an attempt to build a bizarre outlook. But, our NexGen's software system is designed to present you detailed information on your patients' insurance benefits in an easy-to-read format. The details include patient name, payer name, policy number, patient balance, eligibility status, provider status, effective and term dates, pre-authorization, pre-existing and any comments (eg: preauthorization tenure)
Our McKesson software determines the co-pay amounts, deductibles, and benefit coverage prior to the time of service. Thus, you could reduce "no-pays" with our automated time-cutback features.
This is what sets us apart
(3.99% of collections)
|Getting you a daily report on Patients’ Insurance Eligibility info, Procedure Eligibility info, Co-pay, Deductible, Insurance Pre-authorization info and Patients’ Pre-existing Condition info before 8:00 am local time.||Only Insurance Eligiblity Info is avaialble.|
|Medical Coding and Coding Analysis by dedicated specialty specific Certified Medical Coders (CPC) for maximum reimbursement and to zero down denials.|
|Creating clean claims.||7 expert podiatry billing teams who offer specialized services across the breadth of your entire billing cycle|
|Claim Scrubbing to zero down denials.|
|Transmitting claims to the insurance companies within 12 hours from the time of visit.|
|Acting on clearing house report instantly|
|Following-up with the insurance companies over the phone from the seventh day of claim transmission.|
|Posting the EOBs and ERAs.|
|Following-up with denied claims (Denial Management) and resubmitting claims on the same day||
but not on the same day
|Patient AR Management-Mailing-out patient statements-placing follow-up phone calls to get patients’ responsibilities collected.|
|Answering the patients’ questions on their responsibilities by having them call us on our dedicated toll-free number.|
|Access to summary/progress/analysis reports through iPhone/iPad/Blackberry.||
but access only to a few reports
The data input fields of our EHR system is a clean companion of HETS (HIPAA Eligibility Transaction System) 270/271 and other eligibility transaction systems. This feature would mainly benefit the large volume providers who frequently perform patient eligibility checking for Medicare. Besides, it permits the release of secure patient eligibility data to Medicare Providers, or their authorized billing agents to organize an accurate claim, determining in beneficiary liability or eligibility for specific services.
McKesson EHR platform creates a hindrance-free workflow through our automated formulary checks and insurance eligibility screens, so as to reduce your work load and to get precise information on your patient's coverage. Our system is advanced and amicable to you, so that you could view the comprehensive patient details at a single point.
Our system allows the release of patient's appointment, payment and eligibility data to authorized practices, payers or billing agencies through a highly secure conduit. To accomplish 100% claim acceptance rate, our system assists your front desk to perform electronic eligibility screening prior to the claim creation process.
An answer for your every need
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