Patient Eligibility Verification and Prior Authorization

Patient Eligibility Verification

Verifying the patient eligibility is the first and foremost step in the revenue cycle management in the medical practicing organizations. It is important to analyze the eligibility of patients and understand whether they need medical assistance. Medical services are costly enough for both patients and healthcare providers so it is important to determine if the patient is eligible to cover the services and their responsibility to payment.

NexusMD Solutions can help you with our patient eligibility services. With our benefit verification services, we can help physicians to confirm the patients’ coverage, health plan and co-insurance accordingly. Our eligibility verification service helps to promote the coverage collection and reduce the chances of getting denied

How We Perform Patient Eligibility Verification?

It’s undeniably tough and stressful for healthcare practitioners and providers to have a full grip about whether a patient has insurance that covers the type of medical treatment they are looking for. NexusMD Solution makes it easy for all the clinicians by providing a complete range of patient eligibility verification. With our services, we make sure to prepare the verification before the patient meets the practice. We work to streamline your medical billing and make your practices generate revenue.

Benefits

Outsourcing your patient eligibility verification can speed up your medical billing and lower the administrative burden. NexusMD Solutions provide a great deal of benefits to streamline your revenue and maximize service value. Our experts take care of patient eligibility verification and offer benefits that includes;

Complete estimation of the amount that patient will pay for relevant services.
Inform patients about the estimated amount before their visit.
Protect practitioners from insurance lapses and non-coverage policies.

Get The Prior Authorization To Minimize Denial

Living in this modern era of internet and technology deemed businesses to be upfront and that same goes for medical care providers. Generally healthcare practitioners have to face denial multiple times that can be frustrating and affect revenue cycle management and disrupt medical billing. According to published reports about 70 to 75% denials happened due to misunderstanding and errors in prior authorization. NexusMD Solutions makes it easy for healthcare organizations by offering prior authorizations. We can analyze the patients health care plans and can ensure which treatments are supposed to be covered by their health insurances. Our eligibility and authorization services for medical practitioners gave you leverage in medical billing processes.

Why Our Services?

Eligibility verification Is More Important Than You Realize

Why Choose Us?

NexusMD Solutions is enjoying steadfast trust of our thousands of regular clients all across the country. Our dedicated goals to expand medical practices of our partners make us a trustworthy choice to collaborate with. We strive with our high mission-oriented goals in development and functionality ranging from BPO, RCM to VMA and everything between gives us an edge over our competitors. Our commitment to data security, enhanced productivity and transformative approach make us the clinic support your medical billing is looking for..