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Revenue Cycle Errors You Can Avoid by Checking Patient Eligibility Prior to Service.
Introduction The idea of checking a patient's insurance coverage and eligibility before providing a service certainly appears like a direct, best practice. Let us discuss the points that will reduce the revenue errors before providing services.
Reducing Claims Denials • If your staff does not check prior about patient’s insurance then later on it may lead to claim deny. • Claim denials can be very costly and difficult to resubmit, so checking coverage prior to service can prevent claim denials and delayed claim payments.
Inaccurate Billing • If your staff provides treatment without checking insurance coverage, then later after that patient is not covered resulting into paying higher bills than expected. So, checking patient’s insurance eligibility before service is crucial for ensuring accurate billing data.
Missing or Late Payments • Sometimes, the treatment to a patient is not given properly and may charge more than expected, due to which patient may not pay leading to payment delay. • Your staff should be trained to identify patients who may try to avoid paying on time and help hold open communication about the billing process and payment options.