Our coverage discovery services are designed to streamline your healthcare organization’s patient registration and prior authorization verification process. To ensure your organization receives all possible reimbursements and maximizes its revenue cycle on time.
First Pass Cleam Claims Rate
Reduction in A/R
Collection Ratio
Simplifying your patient insurance and verification data can be complex, especially with the frequent updates into payer policies and coverage. As inaccurate insurance eligibility data, or any other outdated information, can lead to financial challenges and loss of revenue simply due to patients being uninsured or underinsured.
Nexus io insurance discovery services team tracks down all misinformation and ensures patient data is kept up-to-date with both primary and secondary sources of coverage. This helps prevent payment delays or claim rejections for any reason.
With our outsourcing your coverage discovery services, you can streamline your patient verification process, reduce your administrative workload, and keep operational efficiency while eliminating all the incorrect and false-positive results.
At Nexus io, we focus on clarity and accuracy, with a deep understanding of payer policies, making navigating easier. We take proactive steps to estimate patient responsibilities accurately and streamline the billing process.
Achieve a high insurance identification hit rate on all uninsured accounts, ensuring you don’t miss out on potential revenue and enhance your practice’s financial health.
Our automated PMS solution will help your practice streamline its coverage discovery services to improve financial efficiency with real-time updates on patient payer policies. To keep everything on point, we smooth your insurance coverage process with automated claim submission, reporting analytics, and third-party integration with the payer’s system feature. It enhances your revenue cycle and improves overall patient communication and satisfaction.
At Nexus io, our EHR solution enhances interoperability by allowing seamless data exchange between different systems, such as healthcare providers and third-party systems, from any clinical record to patient insurance details in real time. By improving connectivity, we provide an accessible platform for data exchange to streamline your billing processes, ultimately reducing the chances of human errors in claim denials.
Our integrated insurance discovery feature in PMS, helps to identify active primary, secondary, and tertiary coverage for patients, along with their Medicare Beneficiary Identifier (MBI) and demographic details, all in a single, efficient inquiry. Combined with patient insurance eligibility verification to boost staff productivity and improve coverage outcomes.
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The coverage discovery process starts at the beginning of the medical revenue cycle with patient insurance eligibility verification. Approximately one-third of claim denials and rejections are due to errors caused by misinformation and unverified insurance coverages made before the patient visited with the provider. By automating registration and verification processes with cloud-based technologies, we ensure that each health care practice receives full reimbursement for the service rendered. Moreover, we will:
Clearly, manually researching every possible payer for each patient to maximize revenue for all services rendered can be a daunting task. That’s why, with our PMS, we automatically verify coverage details in real-time especially when a patient indicates they are self-pay.
This seamless process ensures that any level of coverage is quickly identified, benefiting both the patient and the provider. By reducing human errors, we enhance billing accuracy and prevent financial losses.
Our achievements are a testament to our hard work team to deliver exceptional revenue boost results and gain the client’s trust in us.
Nexus io place the utmost priority on our patient privacy, we ensure that our healthcare revenue cycle management services fully comply with HIPAA regulations; to protect patient’s data with strong security measures:
By outsourcing your coverage discovery services to Nexus io, you will experience a more stable and predictable cash flow for all your services rendered with accurate and up-to-date patient insurance data. Let us handle all your billing complexities and administrative workload so you can focus on your quality patient care.
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Nexus io is here to assist you in exploring how our revenue cycle management services can benefit your practice. Please fill out the short form to the right, and a billing expert from our team will get in touch with you shortly.
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