In a perfect world, we would always have the most accurate payer information at the time of service/date of submission.
Even if we check eligibility on each visit, insurance policies can be terminated retroactively or payers can just be slow to update their eligibility files.
There are two usual scenarios. Let’s look at both and the steps to properly correct your patient’s account.
To read more visit our Biller's Blog.
by Shavara
Shavara has the accumulated 'experience capital', the market know-how, the intricacies of coding, billing and connectivity that we have 'learned'. It is the basis of the work we do in Catalysis - Shavara's Professional Services Engagements.
ThinkCatalysis
Revenue Cycle Management: solved.
What is Catalysis?
To "catalyze" is to rapidly advance by applying powerful tools and industry expertise. Catalysis becomes the process to gain access to the power, apply it to solve gaps and vulnerabilities - then rapidly advance. Shavara possesses the tools to apply Catalysis via collaborative engagements. Our infinite targets are the enterprise organizations: Hospitals, clearinghouse processors, Insurance companies (payers), and large physician practices, peppered throughout the Healthcare system that all share equally the challenges, pitfalls, inefficiencies, ineffectiveness, and the deliberate speed-bumps placed there by bureaucrats to slow down the revenue cycle.
What are the costs of these speed-bumps to the Healthcare system? The costs are in the billions.
Inefficiencies / ineffectiveness
Therefore, solving this eliminates and holds the potential to improve organizational effectiveness, reduce the cost of healthcare and improve healthcare outcomes.
So, who is Shavara? What is that old lamp on the corner of the desk?
That lamp holds wisdom. The cumulative potential of that wisdom holds the potential to dramatically impact operational effectiveness and improve healthcare outcomes.
