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Seek outside help to ensure payer verification

Patient Access Weekly Advisor, September 5, 2007

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It's important seek out multiple services in your area to provide immediate and accurate electronic insurance verification for all of your patients during the registration period.

Eliminate the problem up front-don't wait for the back end folks to chase down the claim and likely miss the boat-and watch revenue flow into the facility much sooner.

Decide as an organization whether you're willing to invest in multiple services to verify all payers and, if so, begin scouting out regional vendors, suggests, Sandy Wolfskill, FHFMA, president of Wolfskill & Associates in Chardon, OH. "Bite the bullet," she says. "There are inexpensive solutions out there. It just takes a while to break away from the single source solution."

Some facilities are ahead of the game. "The elite hospitals have already caught on. I have one client that has three services," says Wolfskill. "If I were running a PFS operation, I wouldn't mind if I had five [services]. You only pay when you use it."

And the act of employing the service likely means that more revenue will flow in to pay for it. The only problem left is convincing the organization to move forward.

"It's more of a mindset," Wolfskill says. "Folks who have been in the industry a long time sometimes prefer an older processing model which doesn't place responsibility for the accurate generation of the claim in the access area."

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