Healthcare providers often struggle with knowing if a patient is eligible for reimbursement of services billed to the insurer by the provider and how much the patient’s financial responsibility is going to be prior to a service. According to industry sources, 75% of all healthcare claim denials are because a patient is not eligible for services billed to the insurer by the provider. Often, a patient would be ineligible for benefits because his or her policy has been terminated or modified.
PMMC helps providers dramatically reduce their accounts receivable cycle and increase revenue, by significantly reducing the impact of ineligibility, increasing the number of "clean" claims that are sent to insurers (i.e., claims that are both complete, and are only for patients who are eligible for benefits) and helping collect the patient’s financial obligation upfront.
Improve Accounts Receivables and Increase Revenue
Unfortunately, eligibility verification is one of the most neglected elements in the revenue cycle. In the absence of proper eligibility and benefit verification countless downstream problems are created; delayed payments, rework, decreased patient satisfaction, increased errors, and nonpayment. To avoid these problems, PMMC has teamed with several eligibility vendors to deploy a customized, high-quality, cost-effective patient insurance eligibility service.
By seamlessly integrating eligibility software into your current processes, PMMC is able to help you streamline your registration process, reducing denials and improving your bottom line. By verifying insurance information upfront, you reduce work on the back-end.