The number one source of claims rejections and denials for home care agencies is ineligible patient insurance coverage.
By leveraging the power of an eligibility solution, your agency can better manage patient insurance eligibility for the services you deliver, reducing the risk of uncollectable revenue.
By implementing an eligibility system into your business office process, you will:
- Minimize claims denials
- Maximize revenue and cash flow
- Improve your revenue cycle performance
Components of a Good Home Care Agency Eligibility System
There are several things you should look for when evaluating your eligibility system options:
User-Friendly — A user-friendly eligibility system eliminates staff time spent manually checking payer websites or managing Electronic Data Interchange (EDI) inquiries and responses. It can also perform batch and individual client checks via a secure upload.
Flexibility and Affordability — Flexible reporting formats can help you get the most value from your eligibility system, and a low cost per transaction makes frequent eligibility checking affordable.
Reducing Claims Rejections and Denials — Reducing claims rejections and denials is the “meat and potatoes” of any good eligibility system. It ensures that you collect for all the services you provide and significantly reduces claims denials.
The Bottom Line
A “best-in-class” insurance eligibility system works to prevent uncollectable revenue by helping to ensure you’re billing the correct payer the first time, and every time. In addition, the operational efficiencies gained by such a system will free up critical financial and personnel resources.
Partner with An Insurance Eligibility Provider
Finding a reliable, committed, and proven insurance eligibility provider is key to maximizing your agency’s revenue cycle.
If you would like information on Sandata’s Eligibility system, request a free consultation with one of our experienced team members by visiting the link below. They’ll be happy to talk to you about your specific situation and discuss whether Sandata’s Eligibility system is right for your organization.