Patient Access Services
Schedule Patients. Check Eligibility. Get Prior Authorizations. Register Patients. Improve Patient collections.
Patient Access Services
Critical Front-end revenue cycle services.
Front-end healthcare revenue cycle represents services that are the face of a healthcare provider’s office. The functions involved in the front office include patient scheduling, eligibility and authorization checks, patient registration, and where possible optimal collection of patient dues upfront. Also known as Pre-visit processes, the processes include:
Schedule Patients and obtain all patient details
Verify Insurance, and eligibility for services - determine copayment, Co-insurance and deductible levels.
Determine prior authorization requirements
Register Patients- make demographic and insurance updates
Patient Scheduling Services
When Patient Satisfaction depends on enabling patients to see the right doctor at the right time, trust us to provide your patients with the best-in-class scheduling services.
Ascribe Healthcare’s scheduling process involves communication with patients using multiple communication methods - phone calls, text messages, portals, and emails to schedule and remind patients of their appointments. We help reduces patient no-show rates and help physicians use their time more efficiently and reduce long-wait time for patients.
Service Overview
We collect the following details during the patient scheduling and appointments calls:
Patient name and address
Contact numbers
Email address
Date of birth
Social Security Number
Primary Insurance Names
Policy and group number(s)
Guarantor Name and address
Our team ensures that all available information has been collected before the patient or the guarantor ends the call.
Benefits
Ascribe Healthcare’s Patient Scheduling Services provide the following benefits:
Improved utilization of physician’s time
Reduction of patient no-shows
Improved determination of patient’s payment history, outstanding payments and patient’s coverage for services sought
Periodic reminders to the patient
Improved patient engagement and Satisfaction
Reduction of long waiting times at the front office
Eligibility Verification and Prior Authorization Services
Eliminate authorization and eligibility related denials, improve upfront collections, and enhance physician and patient satisfaction
Post Scheduling of Patients, the focus moves to completion of registration and eligibility verification. Accurate data capture in scheduling and registration processes lays the ground work for effective billing and collections. By performing eligibility & benefits verification, our front-end revenue cycle team reduces the probability of denials.
Eligibility and Benefits Verification
Ascribe Healthcare’s eligibility and benefits verification team helps you determine the coverage by the insurance company, and helps in understanding the patient's responsibility. We call the payer or, where possible obtain the information from the payer’s website. Our customers can avoid significant costs of reworking a claim with our efficient eligibility verification services. We perform the following steps:
Get a download of the list of patients who are scheduled to visit
For each patient, we look at their primary and secondary insurance, understand their coverage, and determine their co-pay, deductible and co-insurance information
We login to the payer website, call the payer, and where needed, contact the patient if some information is required
Prior Authorization Services
Our front-end team members on your account help you avoid claim denials and reduce the cost of reworking claims by completing prior authorization requests. Many payers ask providers to contact them and obtain prior authorization for specific procedures before a patient visit and ensure that the services being sought are reimbursable. Authorization processes are non-standard across different payers. Our team makes your life easy by bringing in knowledge of the documentation needs of different payers. Typically, we perform the following steps in prior authorization:
Understand the specific nature of the services sought and identify the specific CPT code
Determine the prior authorization processes for the payer to whom the claims will be submitted
Complete the necessary documentation and submit the authorization request to the payer. Follow-up with the payer and obtain the authorization
Keep you informed with a detailed report on the status of each authorization requested
Benefits of our Eligibility Verification and Prior Authorization Services
Perhaps the single most benefit of eligibility verification and prior authorization processes is to reduce the cost of rework and get more money collected upfront through the patient and reducing denials by the payer. Accelerate your cashflow through effective eligibility verification and prior authorization services from Ascribe Healthcare:
Reduce cost of reworking claims by eliminating eligibility and authorization related denials
Improve quality of data collection
Increase patient collections by knowing the patient component of payments upfront
Improve patient and physician satisfaction
Improve speed of access to care through timely authorization processing
Patient Registration Services
Improving self-pay collections, and patient experience with Ascribe Healthcare’s Patient Registration services.
The success of the revenue cycle is dependent of accurate capture of patient information. Inaccuracies in patient information leads to denial of claims, delayed payments, and adds unnecessary costs of rework. Trust Ascribe Healthcare with your patient data capture services - we ensure the highest levels of accuracy and turnaround registration tasks promptly.
Ascribe’s Patient Registration and Validation Services
Our team members enter as well as validate patient’s demographic, and insurance information including the following:
Patient’s name, gender, address, and contact information
Social security number
Payer details - name of the insurance company, name of the insured person, address for mailing claims, and group/policy numbers
Medicaid or Medicare card (if the patient receives federal or state assistance)
Guarantor name and address
Special requirements (interpreter, stretcher access, etc.)
Benefits of Ascribe’s Patient Registration Services
Gain from our team’s efficiency in processing patient registration transactions. The benefits of our patient registration services include:
Reduced costs of processing through our global delivery model
Improved quality and productivity
Dedicated Quality Assurance Team
24-48 hours turnaround
Improved clean claims resulting in increased first-pass resolution rate
Daily status reporting
Reduced denials on account of higher accuracy