What To Know About Insurance Eligibility, Discovery, and Verification
Air and Ground RCM Vendor Slashed Self-pay Volume and Increased Revenue With RCM Optimization Technology
Golden Hour wanted to replace their manual demographic and insurance verification processes with automated RCM workflows to help reduce high self-pay volume.
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Before Golden Hour® began using ZOLL AR Boost®, their workflows consisted of manual efforts to verify patient demographics and insurance information. A significant amount of time, energy, and resources were spent verifying and confirming important data through healthcare systems. Oftentimes, this meant that they were working with incorrect or outdated information and were at severe risk of data entry errors. All of this not only led to delays in claim submission, but also resulted in a very high self-pay volume that was affecting their bottom line.
Automated RCM Tools Revamped Production
When the team started to utilize the revenue cycle management (RCM) optimization tools featured in ZOLL AR Boost, they immediately began to automate and streamline their workflows. Tools such as Demographic Verifier, Insurance Discovery, Insurance Verifier, and Self-pay Analyzer all played a huge role in enhancing their demographic data, verifying insurance, and finding and billing active coverage.
Not only that, but the team also took advantage of the Medicare Beneficiary Identifier (MBI) lookup tool to enhance Medicare discovery, as Mirza Gomez, VP of Revenue Cycle Management Operations for Golden Hour, recalled. “During one of the first team meetings we had about implementing ZOLL AR Boost, everyone was excited about having better Medicare information available,” she said. “Now, we wouldn’t have to be private investigators to find what we needed.”
High Clean Claim Rate, Low Self-pay Volume
Today, Golden Hour has better quality data that has led directly to a higher clean claim rate. Their self-pay volume is down, customer collections are up, and they are celebrating their newfound productivity gains and improved financial performance across the board.
Read the case study to learn more about how Golden Hour utilized automated RCM tools to drive down their self-pay volume and drive home more positive business metrics. You’ll learn how they decreased the percentage of their unknown coverage and self-pay accounts while also decreasing the operational costs associated with them. At the same time, you’ll discover how they both increased their revenue capture for their customers and improved patient satisfaction.
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