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With higher deductibles than ever before and therefore larger patient co-pays, clearing self-pay patients is more challenging and labor intensive than in the past. Most important, earned revenue walks out the door every day when patients leave the office without paying.
Our Insurance Discovery tool combines innovative technology with human intelligence to explore every coverage option and payer source for patients presenting as self-pay. Using the latest mapping logic for more than 2,000 payers, clearinghouse databases and direct connections infrastructure, we find more active coverage for you.
Faulty patient demographic data is the primary reason for denied claims and failed insurance eligibility. Using our innovative Demographic Verifier tool, you can easily obtain complete and accurate patient information instantly, for every patient and every claim.
ZOLL AR Boost’s up-front, expansive patient data improves statement delivery, reduces the cost of claims and accelerates payments. The result is a stronger bottom line for your business.
Claim rejections and payment delays are tedious, time-consuming and inefficient, but it doesn’t have to be that way. Whether in real time or batch processing, your ability to access details regarding coverage by service type, co-pay, deductibles and benefits empowers better reimbursement.
Our Insurance Verifier tool combines technology innovations with receivables expertise to rapidly and accurately triage your patients’ insurance coverage. We solve your insurance verification and eligibility issues for every patient, every payer — every time.
Depending on the complexity of the prior authorization (PA) request, the level of manual work involved, and the requirements stipulated by the payer, PA can take anywhere from one day to one month to process. Delaying treatment can cause problems for patients and forces clinicians and administrative staff to divert attention from patient care to chasing down answers. Fortunately, there’s a better way.
Our Prior Authorization tool accelerates the process from provider order through PA adjudication, saving valuable time and freeing up your staff to focus on higher-value activities. In addition, it mitigates the risk of manual data entry errors, provides price transparency to providers and patients, and shortens turnaround time. Automated PA provides efficiency, predictability, and cost savings that beats the manual approach, hands down.
Patient responsibility is at an all-time high. On top of this, patients today expect personalized healthcare and an overall positive experience.
Our Self-pay Analyzer tool determines which patients are most likely to pay and pinpoints those who qualify for a hardship discount or Medicaid. Maximize internal collections and prevent low-hanging fruit from being outsourced to collections vendors by giving your AR the ZOLL Data Systems boost.
In recent years, the rise in patient cost sharing and deductibles have been a growing contributor to providers taking on bad debt. Our Deductible Monitoring tool equips health care systems and providers with real-time intelligence around a patient’s deductible fulfillment. This allows revenue cycle professionals to drop claims with surgical precision increasing the likelihood of receiving proper reimbursement while reduce self-pay collections costs.
One of the most challenging aspects of revenue cycle management is getting visibility into the status of claims at the payor. Often, only the highest priority claims receive attention, leaving revenue on the table due to a lack of follow-up and available resources devoted to monitoring.
Our Claims Monitoring tool automatically provides early insight into the status of your claims upon acceptance into the payer’s adjudication system. It helps reduce manual intervention, time, and resources required to follow up on claims. This proprietary tool enables staff to focus their attention where it matters most: on collections and appeals efforts.
