Access Management Solutions With Insurance Eligibility Checks Boost Reimbursement : McKesson Corporate

Access management leaders must address the inability to easily verify insurance eligibility, obtain authorization, verify demographic information, confirm medical necessity, and assess ability and likelihood to pay estimated healthcare costs during scheduling and patient registration. Failure to obtain needed information, from patients and payors, results in costly rework by billing staff as well as unnecessary write-offs and higher collection costs. Additionally, you need to maximize resource utilization without sacrificing patient, staff and physician satisfaction through your patient registration system.

McKesson's enterprise-wide access management solution enables healthcare organizations to be thorough, consistent and efficient in their compliance processing and resource utilization, promoting revenue cycle improvement during the key patient access points: scheduling, registration, order entry and billing.

McKesson's RelayHealth business provides a clearinghouse that supports the entire revenue cycle, including real-time access to insurance eligibility and address/credit information checking prior and after care delivery; claims compliance and submission; remittance advice; and electronic and paper patient billing. These solutions help hospitals to automatically identify services that do not meet payor coding and billing guidelines as well as those that require additional documentation to support reimbursement. Organizations can also simplify patient communications by utilizing RelayHealth's patient billing and print services.

Payment Advisor™ - Verifies patient demographic information and checks the patient’s credit, and then uses this information to assign the patient into user-defined financial categories
Charity Advisor™ - Streamlines administrative processes for un-insured and under-insured patients by identifying patients that may qualify for charity or uninsured discounts in compliance with your existing credit and collection policy
Medicaid Advisor™ - Identifies patients who are likely to qualify for Medicaid-funded health services based on your state’s (and/or nearby states’) regulations.
Real-Time Eligibility - Reduces the likelihood of bad debt write-offs by providing quick, online confirmation of patient insurance and benefit coverage retrieved directly from the payor.

Charity Advisor, Medicaid Advisor and Payment Advisor are trademarks of SearchAmerica, Inc

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