Demographics, Eligibility Verification and Prior Authorization
In most healthcare practices across the US, claims getting denied are on account of the patient not being eligible for the services rendered by the healthcare provider.
We eliminate this risk for you through our coherent demographics, eligibility verification and prior authorization procedures which allow for an insurance check before any services are administered.
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Incorrect details captured cause rework as the clearinghouse systems, and the payer claims adjudication platforms may reject the claims. As a result, delays in obtaining payment or losses on account of unpaid claims can occur.
We help you by taking away your administrative burden and perform the necessary functions to collect and validate the following for you
- Patient Demographics information legal name, age, gender, address, phone numbers, social security number, etc.
- Medical Information including details on allergies and special requirements etc.
- Healthcare Insurance Information including name, address, policy numbers etc.
Avail our error-free capture of patient information for clean claim submission and experience quick claims processing by Payers.
Failure to collect deductibles, copays and coinsurance at the time of service can be very costly for a practice, as your ability to collect can decrease significantly after the patient leaves the office.
We help you in taking proactive measures to protect your practice by preventing denials and delays.
Our services include
- Verifying member’s eligibility with the insurer and ascertain detailed benefits.
- Checking and validating group number, group name plan/product and current effective dates,
- Confirming co-payment co-insurance, deductible (original and remaining
amounts), out-of-pocket limitations/maximums, preauthorization indicators, and contacts.
According to American Medical Association’s 2022 Survey on Prior Authorization Practices, Physicians and their staff spend an average two business days (14 hours) each week completing PAs while in 94% of the cases requiring Prior Authorizations, the process delays access to necessary care for patients.
With our dedicated team handling Prior Authorizations, we take away your administrative burden and expedite the process to ensure your patients receive the necessary care.
By availing our Prior Authorization services, you can expect
- Accurate data and information capture
- Confirmation of insurance coverage for the Authorized Process
- Speed-Up of the Authorization Process
- Compliance with the “No Surprises Act”
avail the benefits
We have helped transform the Revenue Cycle Management for multiple medical practices across the US.
With our Demographics, Eligibility Verification and Prior Authorization Services you can expect to
Take Informed Decisions affecting your revenue cycle
Improve Patient Experience with alleviated service level
Improve Clean Submissions in the first go
Witness a marked improvement in your collections
Reduce Administrative Burden to maintain a sustainable revenue cycle management
Speak with our representatives today and discover the difference we can make for you.
Services
100% HIPAA Compliant
Support
24/7 Quality Support
Accuracy
98% Clean Submissions
Success
99% Client Retention
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Our full suit of revenue cycle management services
Credentialing
Ease the complexities of provider credentialing. Our experts manage initial applications, renewals, and verifications, ensuring your practice stays ahead of potential reimbursement roadblocks.
Medical Coding, Billing Documentation and Account Receivable Management
Every procedure and diagnosis is coded correctly, leading to accurate claim creation and submission thereby compensating your practice timely and accurately for every service rendered.
Denial Management
Turn denials into opportunities. Our specialists navigate the intricate paths of denied claims, ensuring potential losses transform into recoverable revenue.
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We are ready to welcome you aboard
When you decide to go with MAARS as your billing partner, you’ll receive more than just a service provider – you’ll have a partner that works to ensure the financial health of your practice.
Here are some benefits to look forward to:
- Increased Revenue
- Time and Resource Savings
- Improved Accuracy
- Compliance Assurance
- Peace of Mind