To the management of all procedures that are not related to clinical work to successfully operate in healthcare convenience like Processing of Authorization, Tracking, Fax related functions, and also a review of records, etc.
Scheduling and managing appointments is essential to delivering high-quality treatment. Exact eligibility and prior authorization criteria must be captured, excessive hold times must be eliminated, and operations must be sped up in order to retain patient satisfaction and physician recommendations.
We are aware of how important efficient scheduling and appointment management are to delivering high-quality healthcare services. We strive to simplify scheduling, get rid of no-shows, and encourage patient participation in order to ensure the greatest outcomes for clinicians and patients.
Utilizing these tools will allow clinicians to more effectively manage their schedules, reducing wait times, increasing patient involvement, and reducing no-shows. Our patient appointment scheduling and management services offer several benefits, such as:
Referral management describes the procedure through which a patient is sent to a specialist or consultant by his or her family doctor or primary care physician.
For every clinic or hospital, managing faxes is one of the most challenging tasks. the large number of faxes coming in from different organizations including labs, hospitals, primary care physicians, Imaging centers, pharmacies, etc.
We offer the best fax management services available on the market. We determine the many categories where faxes need to be delivered on time by developing the standard operating procedure. We have certified employees who can read fax content, assess it, and deliver it to relevant people.
For the insurance company to pay for certain medical operations, they must first be approved or pre-certified before they are carried out. It takes a lot of time and effort for busy practices to manage pre-certification.
Our pre-authorization services provide hospitals, outpatient facilities, and medical practices with the following advantages:
Precertification is necessary for several managed care programs, point-of-service plans, as well as Medicare and Medicaid procedures including inpatient hospitalizations, outpatient surgery, and several other types of operations. The provider could suffer large financial losses if they don't obtain preauthorization for payer-mandated services.
Many managed care programs, point-of-service plans, as well as Medicare and Medicaid treatments, including inpatient hospitalizations, outpatient surgery, and various other types of operations, require precertification.
Pre-certs will be sure to contain the following information:
You may concentrate on offering prompt patient care while taking advantage of our assistance to quickly get paid.
Prior authorization or pre-approval may be required before many medications are covered by insurers. Pharmaceuticals may need prior authorizations to prove that they are both appropriate and necessary for the patient's condition. Insurance companies want prior authorizations (PA) for specific medications or pharmaceuticals used in combination therapies, infusion therapy, and some other pricey medications. In order to ensure payment and that your patients are aware of the cost of their prescriptions, you should obtain authorizations before dispensing any particular medications.
It takes a lot of time for pharmacists, staff members, and patients at their provider's clinic to pre-certify with insurance. We acknowledge that any delay in receiving prior authorization may also restrict patients' access to treatments and medications. We have great experience with pharmacy prior authorization for all medication requests and prescriptions.
What Makes Our Medication Pre-Authorization Unique?
A patient care coordinator, often referred to as a care coordinator, is a medical worker tasked with making sure that patients receive the best care available. They keep patient records up to current, educate patients on medical procedures or difficulties, and act as a liaison between the patient and healthcare professionals by maintaining open lines of communication. They also listen to patients and their families to make sure that their needs are satisfied.
Before giving the services, there are several specialties where the patient needs to be informed about the services, surgeries, patient costs, and liabilities. To keep the patient informed, we designate a specialized patient care coordinator to handle all of these activities. The patient won't be surprised by any financial obligations.
When a new patient arrives, the person who attends to him or her gathers some basic information like referrals and other required information so the patient can get treatment in a hospital or clinic. The duty of the attendant is to perform new registration of patients in software as well as upgrade previous patient’s details. They also gather the history of previous diseases or any other medical situation with the client in the past by phone or an online form that the client can fill out and submit. Also, their responsibility is to keep patient information up to date, well arranged, and precise