Tag: patient access
Hundreds of billions of healthcare dollars are spent on unnecessary or overused tests, services, or medical procedures — as much as $765 billion a year, according to the National Academy of Medicine. One group analyzing spending in Washington state found that more than 600,000 patients had unnecessary treatments, and around 85 percent of lab tests performed on low-risk patients for routine surgeries were unnecessary. Wasteful medical procedures are bad for patients and bad for business. The problem? A single patient is often receiving treatment from several providers, which makes organizing an efficient treatment schedule difficult. Patients end up with duplicate or unnecessary orders that cost everyone time and money. Adjusting organizational workflow to reduce waste Handling administrative tasks manually is a huge resource drain for healthcare organizations. Scheduling, processing registration, and manually inputting orders takes a lot of time. In fact, 51 percent of a nurse’s workload is taken up by tasks that are not directly related to patient care. For doctors, that number is lower (16 percent) but still significant. Automating healthcare workflow is key to reducing the wasted hours, but any such automation must be able to integrate into the patient workflow without disruption. Automation can reduce the time spent manually entering information while increasing accuracy and eliminating redundant orders. CHRISTUS Health is one organization that had a cumbersome manual system that administrators decided to upgrade and automate by bringing in Experian Health. Before the automation, a CHRISTUS staffer would download accounts from its system in an Excel spreadsheet form three times a day, which sucked up three hours of employee time every day. In addition to the time drain, this method was susceptible to human error and technological failure, both of which extended the hours spent on this tedious task. So CHRISTUS Health implemented technology that automates up to 80 percent of preregistration workflow for work assignments and insurance verification. This automation reduced manual intervention by identifying and presenting only the patients who need follow-up by staff in order to be cleared prior to arrival. The process now allows staffers to access and work with accounts instantly rather than wait to download spreadsheets of scheduled appointments. The automated workflow that CHRISTUS Health implemented also automated the process of tracking orders by connecting them with clinics, labs, and other ancillary facilities. Now the organization can track medications that have been prescribed by others, what tests have already been ordered, and what results have been received. Through automation, CHRISTUS Health has been able to run medical necessity, check orders for insurance eligibility, review prior authorizations, and dramatically reduce phone calls to doctors and hospitals to verify information. Not only has this streamlined the process, but it has also eliminated many errors along the way. Making change count As healthcare organizations continue to expand, it\'s important to always look to the bottom line to ensure everything is running as efficiently as possible. Systems for scheduling, staffing, discharge, and transfer can be automated, which helps keep costs down and maximize staff time. CHRISTUS Health was able to increase its productivity by 60 percent with the moves the organization made toward automation. When CHRISTUS closed accounts manually, staffers processed around 40 accounts per day. With automation, that number jumped to an average of 120 accounts. Errors have been eliminated, and the three or more hours staffers used to spend downloading and emailing spreadsheets have been reallocated to more important work. All of this has been a huge benefit for the CHRISTUS team. Eliminating waste in healthcare organizations is a benefit to everyone: patients, providers, and organizations. Cutting down time spent on things that could be automated and increasing accuracy is a goal any healthcare organization can get behind.
This time last year, the Centers for Disease Control and Prevention and hospitals across the country weren’t quite ready for the flu season, which turned out to be the deadliest in 40 years. The flu and complications arising from it resulted in the deaths of more than 80,000 people. Hospitals felt the brunt of the 2017-2018 epidemic early. Hospital and medical center staffs were forced to work overtime, setting up triage tents and treating flu patients in recovery rooms. Alabama declared a state of emergency, and doctors in California had to treat patients in hallways. Experts predict a milder flu season this year, partly due to an updated flu vaccine that protects against H3N2, which was the severe strain that dominated last year’s flu season. While it\'s hopeful that this year’s flu season will be better, it\'s always a busy time for hospitals and providers, so they should be sure they\'re using the most efficient healthcare IT solutions to streamline their workflow. Greater efficiency is key When it comes to efficiency, hospitals should take a cue from Martin Luther King Jr. Community Hospital in Los Angeles, which collaborated with Experian Health to streamline patient registration and insurance verification. Before the collaboration, MLKCH had to consult websites and make phone calls to confirm a patient\'s insurance eligibility, which was time-consuming. The hospital has a large Medicaid and managed care population, which means employees had to consult both a state website and a health plan website. The hospital also had a high-traffic emergency department and limited front-line staff to handle the incoming flow of patients. Additionally, employees performed manual quality assurance, which is a time-consuming task. Understanding its challenges, Experian Health was able to help the hospital streamline its system to improve efficiency in insurance verification through Coverage Discovery. It also helped the hospital improve patient registration with Registration QA, which has improved data quality and patient registration accuracy. Since MLKCH integrated Coverage Discovery and Registration QA into Cerner, it has saved precious time when it comes to validating patient and payment information. “We have a lot of returning patients to our emergency room, so once we check that patient in, their eligibility automatically runs in the background and our staff doesn’t have to go into another website to check their eligibility,\" said Lori Westman, patient access manager at MLKCH. “This has saved us two to three minutes of our registration time.” “We average about 300 patients every 24 hours,” she continued. “Heading into flu season, they\'re expecting to hit a 400-per-day volume, so the fact that we can take off two to three minutes at least on half of our registrations is going to speed up the work for the team that much faster, to have a turnaround time that much better for more patients to come through.” Managing the season Only 42 percent of Americans got a flu vaccine last year — painfully shy of the CDC’s 70 percent target. Misconceptions and fears about the vaccination and its effectiveness can keep people from getting it, which only increases the spread of the flu. Flu season is always going to be a busy time for healthcare providers. But finding ways to manage staff and resources and work more efficiently is going to help hospitals and other facilities better manage the busy season. Learn more about Experian Health’s Patient Access solutions.
The world of healthcare, as everyone knows, can be complex. And in such a complicated system, solutions that simplify, automate, and reduce busywork can make a real difference in both patient satisfaction and workplace efficiency. Although healthcare is, by its nature, a high-touch field, there are several opportunities to allow automated software solutions to handle the basic processing tasks associated with patient management. When routine interactions with patients are automated, medical and administrative staff members can devote more of their time to the cases that need the most attention. Automated workflow solutions also simplify and reduce busywork to make a noticeable difference in patient satisfaction and workplace efficiency. Obviously, that outcome is desirable for all parties involved. It reduces costs, improves morale, and results in satisfied patients. In an ideal workflow environment, employees can personally attend to problem cases and resolve certain issues manually while an automated system handles the run-of-the-mill cases that cause administrative backlogs. Experian Health has worked hard to develop just such a system. We call it eCare NEXT®. Introducing eCare NEXT The eCare NEXT platform, using an approach called Touchless Processing™, is able to offload a number of key patient processes, including scheduling, preregistration, registration, and admissions. Touchless Processing is an exception-based system, meaning that it automatically flags patients who require manual follow-up with staffers. The system updates data in real time, and users can interact with it through either a work queue system or by responding to triggered alerts. Healthcare organizations using the system can automate up to 80 percent of human intervention in the patient management process — allowing healthcare staff to focus on larger, more important initiatives to improve the patient experience. And Touchless Processing doesn\'t just free up staff time; patients see immediate benefits as well. One of the biggest frustrations in a patient\'s experience is the inability to get a reliable estimate for how much a service will cost. The eCare NEXT system sorts through all the complex factors that affect healthcare pricing — which are often too complex for hospital billing departments to accurately estimate on their own — and quickly determines accurate cost estimates for both the patient and insurance. Efficiency results in lowered costs — and happier patients The eCare NEXT system cuts costs in other ways, too: by reducing staff training needs, by ensuring compliance, by enforcing transparency, and so on. The benefits of an automated patient management system can manifest themselves in all sorts of ways. Blessing Health System, based in Quincy, Illinois, implemented eCare NEXT and found that it reliably increased efficiency and accuracy in patient management: \"Experian Health provided our staff with a reliable, real-time registration error-alerting process. Our overall registration accuracy rate has improved significantly since implementing eCare NEXT. We now have the tools we need to be successful in one user-friendly application.\" Blessing\'s employees found that eCare NEXT improved dashboard capabilities and made it easier to view critical data, including missed estimates and copays. It was a clear upgrade over Blessing\'s previous system, in which employees manually calculated patient estimates. After adopting eCare NEXT, Blessing\'s point of sale collections increased by over 80 percent, its clean claim rate increased from 63 percent to 90 percent, and denials went down by 27 percent. And because the process had become so much more accurate and efficient, the average number of days an account spent in accounts receivable decreased by 28 percent. There’s no need to labor under an outdated administrative system that\'s certain to cause backlogs, errors, and intense frustration for patients and staffers. By offloading patient management work to the eCare NEXT system, healthcare providers can do what they do best: help people. For more information, contact Experian Health or check out our Touchless Processing whitepaper.
As most doctors will say, healthcare is about helping patients, not making money. However, these two goals aren\'t as separate as some would assume. In order to help their patients, healthcare providers need to buy equipment, pay salaries, and spend money to maintain an effective, efficient customer experience. Revenue is what makes healthcare work, so preserving revenue should be a main priority for healthcare administrators. That\'s how Stacy Calvaruso, assistant vice president of patient services and revenue cycle at Louisiana Children\'s Medical Center (LCMC) Health, approaches her job. \"Revenue preservation is a term that we use in our organization to talk about how we\'re going to ensure that we\'re maintaining all the money that we can possibly collect for the services that we provide for our community,\" Calvaruso says. \"Everyone is being asked to do more with less, and patient access or the revenue cycle is no different than the clinical areas. We have to ensure that we\'re able to collect all the money and all the income that we generate as an organization so that we can put more money back into the community to provide more services to more patients.\" For help with revenue preservation, Calvaruso\'s team uses Experian Health\'s revenue cycle management tools. The full suite of Experian Health\'s revenue management products help LCMC Health facilitate patient access, manage contracts, process and submit claims, and streamline collections. Here\'s a closer look at how Experian Health approaches each stage of the revenue preservation process. Patient Access With 86 percent of leading medical practices seeing an increase in payer prior authorization, having accurate and comprehensive patient data is crucial to getting patients the treatment they need with fewer denials from insurers. Experian Health can help by verifying patient information at the point of service. From there, automated software coordinates patient data across all connected facilities so customers, doctors, and insurers are better informed about possible treatment options and how much they\'re likely to cost, eliminating any surprises in the payment or collections process. According to Calvaruso, a transparent process helps to prevent repeated work, which is a major cause of revenue loss. \"Instead of calling a patient after the fact about a denial or incorrect insurance information, we\'re able to call them on the front end to let them know that we\'ve verified their benefits, we know what the estimate of their out-of-pocket payment is going to be, we\'ve talked to their doctor, and we\'re ready for them to come and have these services,\" she says. Experian Health\'s Patient Access tools make it quick and easy to find the right information and avoid miscommunications and delays that affect revenue preservation. Hospital staff will be grateful for the lightened workflow and improved outcomes for both customers and administrators. Contract Management One of the most common clogs in revenue collection comes from unclear contract management. Without the right data to analyze contract compliance, hospitals will struggle to get accurate payments from insurers and customers. Calvaruso says that one of the cornerstones of her revenue preservation philosophy is reducing the avoidable denials; Experian Health\'s contract management tools can analyze and audit contracts to ensure payer compliance and clarify anything that could lead to such a denial. Experian Health\'s contract management tools also provide patients with more accurate estimates of treatment costs. One recent survey of 54 hospitals found that getting a price estimate is a frustrating process for patients; another poll found that 46 percent of younger patients aren\'t paying their full bill at the point of service because they didn\'t have an accurate cost estimate. Having accurate contract management data can make a big difference at both the point of service and in later payment collections. Experian Health\'s contract management tools can not only increase the revenue a hospital collects, but they can also improve the financial experience and build better relationships with customers and insurers. Claims Everybody makes mistakes, but given the amount of stress that healthcare providers are under, it\'s more likely that they\'ll make mistakes on routine paperwork like claims forms, which can lead to the kind of rework that hospitals loathe and that eats away at revenue. On top of that, without a streamlined system in place, it\'s often unclear where the initial problem occurred, which means administrators can\'t correct the problem for next time. \"We make sure we\'ve done all the work in the beginning to prevent the rework,\" Calvaruso says. \"One way we can do that is by using that lean process that assists us with identifying where we can improve.\" Experian Health\'s solutions helped Calvaruso develop that type of process. ClaimSource helps organizations prioritize the claims that need immediate attention, which saves time and reduces the number of tardy claim submissions. To avoid errors in the claims themselves, Experian Health\'s Claims Scrubber® makes sure clean claims are submitted the first time, eliminating the dreaded rework. Collections Submitting new claims after denials is aggravating, but bad debt write-offs are even more harmful to revenue preservation — it\'s money that the organization will never see, no matter how much more work is put in. The only way to ensure accurate collections is to minimize the risk of denial in the first place. As Calvaruso says, a key component of preserving revenue is moving back-office work to the front end. For collections, this means accurately verifying patient identity and analyzing litigation risks. Of course, not every situation can be accounted for, and there will always be issues with collections, Experian Health\'s collections solutions make it easier for organizations to prioritize their past-due accounts and pursue them effectively. No healthcare organization will ever receive 100 percent of the revenue it\'s due, but taking the right steps to preserve revenue can mitigate much of the loss and keep things running smoothly. With healthy revenue management, healthcare providers can better help the people who need them most.
Experian Health will be at HFMA ANI again this year–booth 1025–at the Venetian-Palazzo Sands Expo in Las Vegas, Nevada. Kristen Simmons, Senior Vice President, Strategy, Innovation, Consumer Experience, and Marketing, with Experian Health, chatted with Joe Lavelle of IntrepidNOW to provide her insights on this year’s HFMA ANI conference, consumerism in healthcare and much more! Excerpt below: Experian Health booth activities \"[In our booth this year at HFMA ANI, we want to focus] around peer to peer learning and exchanges, so we are doing less selling and more engaging and more understanding. Understanding folks problems and helping to collectively arrive at solutions. We are doing a lot this year in terms of hands on demos of our solutions. We\'ll be showing some of our patient engagement products which include, self-service portals and mobile options for getting price estimates for applying for charity care, and setting up payment plans. Likewise, on the revenue cycle management side to automate orders with patient access functionality, contract management claims and collections, all those types of things that we do to improve efficiency and increase reimbursement for our clients. We\'ll also be showing off some of our identity management capabilities to match, manage, and protect patient identities so we can safe guard medical information and reduce risks for our clients. And on the care management side, our early support and sharing of post acute patient care information to help providers succeed as we all move forward into a value based paradigm.\" How Experian Health is addressing the need for consumerism in healthcare \"When it comes to consumerism, it\'s interesting when you\'re a company that has a lot of data and a lot of capabilities to say, \'Hey what can we do for people?\' One of the things we really wanted to look at for our consumer approach, was to say, \'What is it that needs to be done?\' We had some great hypotheses coming in and a lot of those were borne out but we actually undertook a big national study to take a look at what consumers biggest pain points were. It has a qualitative and a quantitative component. But, we basically looked at the entire healthcare journey so we weren\'t just asking them about the administrative and financial aspects of care, but also the clinical aspects. As we walked through the journey and were able to get a lot of quantitative data about all these different aspects of their healthcare journey, what actually turned out to be the most painful for the most people, were all the things around the financial equation. And, so clearly there can be pain in a clinical side, especially if you\'re unhealthy, you\'ve got something chronic, you\'ve got something terminal. There\'s all kinds of awful situations there but, really affecting almost everyone is a lot of the pain around the financial aspect of healthcare. So, we were able to look closely at some of those pain points and decide on some of the biggest ones that we wanted to tackle.\" How Experian Health is helping providers address financial pain points for patients and providers \"Some of the big pain points for people is just the fact that you don\'t know what you\'re going to owe and as the patient portion of responsibility increases, understanding what you\'re going to be paying becomes more and more important to a consumer. So, understanding what I owe earlier, being transparent, and then helping me pay, those are some of the areas. And there are others but those are some of the absolute biggest pain points. And as you pointed out with some of our propensity to pay analytics, and some of the other capabilities that we have, we\'re able to help providers understand the financial situation patients are in much earlier in the process so they can get them to the right kind of funding sources. They can give them peace of mind so that they know what they\'re paying upfront, which may impact when they choose to go in for a major procedure or how they might want to save up for it or how they might want to access different funding sources.\" Listen to the full podcast
Making phone calls, filling out paperwork, and chasing down debt shouldn’t take up the bulk of a healthcare organization’s daily schedule. Now more than ever, physicians have little time to provide high-quality care to their patients. In 2015, the American College of Physicians (ACP) put forth the Patients Before Paperwork initiative to address the burdens that these administrative tasks create for physicians and their staff. The ACP states that defining and mitigating administrative tasks is essential to improve an organization’s workflow and reduce physician burnout. Through utilizing healthcare workflow automation, you can improve productivity without overextending employees\' duties. Instead, your team can spend more time caring for patients and helping them with the financial side of their experience, which is something both patients and doctors prefer. Easier access with automated healthcare solutions In the new wave of consumerism, there is a high demand for convenience and transparency in every transaction. Healthcare providers and organizations also face this pressure, but the industry has been slower to transform because patient care transactions are infinitely more complicated than online retail purchases. Despite the slow go, healthcare workflow automation technology and organizations are starting to catch up. For example, engagement is a defining factor for today’s healthcare consumers. However, engagement must be mindfully catered to specific situations. When it comes to scheduling appointments, patients actually prefer an automated healthcare workflow approach over talking to a human. Regardless of its form, engagement is still essential in all aspects of the care continuum, and physicians can find it hard to engage when every administrative task has to be completed by hand. If you’re still devoting time and resources to manual patient access tasks, you\'re not only falling behind in the competitive healthcare industry, but you’re also missing an opportunity to enhance the overall patient experience. Fortunately, countless tasks — scheduling, preregistration, registration, and admissions — are no longer paper-based and don’t require nearly as much hands-on involvement as they used to. Given this reality, automated healthcare solutions can and should take are of scheduling and other mundane tasks. Ultimately, automation will allow administrative employees to focus on other areas of engagement, like financial counseling for patients. Employees will have more time to help patients understand their financial obligations and perhaps set up a payment plan before procedures, avoiding the sticker shock of a surprise bill months later. The touchless approach In the Patients Before Paperwork initiative mentioned above, the ACP concluded that “excessive administrative tasks have serious adverse consequences for physicians and their patients.” At Experian Health, our automated healthcare solutions reduce those consequences by creating a touchless approach that only requires human intervention for exceptional cases. A touchless, automated healthcare workflow makes patient access predictable so you can spend more time serving patients. For example, our eCare NEXT® solution is a single platform that automates every step of the revenue cycle. Users only work on prescreened accounts with actionable follow-ups. Touchless Processing™ takes care of the rest through intelligent automation. You can effectively implement Touchless Processing throughout the rest of your organization by integrating eCare NEXT with Experian\'s other solutions: Registration QA When eCare NEXT is integrated with Registration QA, for instance, you can automatically access patients’ insurance eligibility in real time and identify registration inaccuracies early in the revenue cycle. This significantly reduces claims denials that can cut into revenue and take up more time to correct and resubmit. Payer-specific information can also be stored and automatically updated to ensure accuracy every time that payer comes up. Authorizations You can carry the touchless approach even further by expanding your suite of solutions with our Authorizations.The platform automates authorization management using the payer authorization requirements already stored and updated in the system. Authorization completes inquiries and submissions without user intervention to further reduce denials and expedite reimbursements. When done manually, administrative tasks related to orders, scheduling, preregistration, registration, and admissions are a drain on any healthcare organization’s resources. Minimizing staff involvement in these tasks improves the experience for physicians and patients alike, but it requires automated healthcare workflow solutions that can be seamlessly integrated into the workflow. With Experian Health’s Touchless Processing solutions, providers can exercise greater control over these tasks and significantly improve revenue recovery. This will give physicians and employees more time to focus on creating a more efficient, effective, and positive experience for everyone involved.
Uncertainty over the future direction of the U.S. healthcare system has left a high percentage of patients uninsured or underinsured. These patients rely more heavily on price estimates for care and self-payment options, and this places a heavy burden on healthcare organizations to collect patients\' payments more quickly. In addition, healthcare reimbursements are increasingly based on value. Now, providers can be penalized for giving patients inaccurate cost estimates about medical care. These estimates are taken seriously because inefficient and unpredictable revenue cycle management (RCM) that stems from errors, late payments, and other factors can cost healthcare providers up to 65 percent of their revenue. This raises a pressing question: How do you make a historically unpredictable revenue cycle less chaotic and more efficient? There are many factors to that answer, but most of them point to and lean on innovative, data-driven IT solutions, such as Experian Health’s suite of RCM tools. How can healthcare providers better predict revenue cycles? When revenue cycles are accurately predicted across the care continuum, patients can more easily pay the costs of their care, and healthcare providers can increase their collection rates. Coverages can also be identified that patients are unaware that they qualify for, helping them lower their out-of-pocket expenses and decrease healthcare providers\' risks of failing to collect payment. For predictability to matter, however, a revenue cycle needs transparency in pricing, particularly in the cost estimates patients receive before treatment. Precise, trustworthy estimates make it easier for Experian Health’s technology to generate clean claims that won’t be denied due to inaccuracies. Reducing claims denials not only allows healthcare providers to be paid faster, but it also saves the time, costs, and lost revenue of having to resubmit them. All of these factors can be challenging to address individually — and exponentially more demanding to do so all together. However, Experian Health’s goal is to relieve that weight by providing solutions designed to make predicting and managing revenue cycles a more efficient and profitable practice. How Experian Health’s solutions increase revenue cycle predictability. Boosting the ability to forecast a revenue cycle requires a variety of data-driven solutions. At Experian Health, our Eligibility, Coverage Discovery, Patient Estimates, and Claim Scrubber technologies are just a few of the many tools we provide to help. 1. Passport Eligibility Eligibility is a verification tool that combines up-to-date eligibility and benefits data for individual patients to ensure the accuracy of their upfront estimates. In turn, patients can rest easier knowing their predicted healthcare costs are accurate and derived from recent data.Additionally, the eligibility tool matches patients with Medicaid coverage that they were previously unaware they qualified for. Reclassifying patients and submitting their claims with the appropriate information lightens their stress about payments and increases a healthcare provider\'s chances of reimbursement. As a result, future revenue cycles become clearer. 2. Coverage Discovery Even patients with existing insurance may be unclear about what their coverage entails or how their plans apply to specific medical treatments. With our automated Coverage Discovery solution, hidden coverages are uncovered and applied to claims to avoid costly, time-consuming claim denials. The tool analyzes data from Medicare, Medicaid, and commercial insurance policies to help ensure patients don\'t pay more unnecessary costs. For instance, in 2016, Coverage Discovery uncovered a total of $1.8 billion in hidden coverages for more than 275 Experian Health clients. With a stronger understanding of what coverage applies to patients, healthcare providers will gain better forecasting knowledge of the pain points in patient pay, which increases revenue cycle predictability. 3. Patient Estimates With the information collected by the Eligibility and Coverage Discovery tools, our Patient Estimates platform can provide highly accurate cost estimates upfront. The solution utilizes data from numerous sources and populates that data automatically for each estimate to avoid human error. Patients who know what to expect about the costs of their treatment can make better, more informed decisions about their healthcare. They’re also more likely to pay bills they’ve carefully budgeted for instead of ones that are notably higher than the estimates they expected. By understanding this cost information in advance, both patients and healthcare providers reap benefits, making the revenue cycle run smoothly. 4. Claim Scrubber Next to garnished healthcare reimbursements, denied claims are another expensive consequence of an inaccurate revenue cycle forecast. Up to 20 percent of claims are denied or require reprocessing because of inaccurate or erroneous information. Our Claim Scrubber solution eliminates such errors by autopopulating claims with data pooled from a variety of relevant sources. Claim Scrubber reviews each prebilled claim line by line for inaccuracies and then applies extensive edits based on general, patient-specific, and payer-specific data. The digital scrubbing drastically reduces the time, lost revenue, and possible penalties associated with denied claims by boosting first-time acceptance rates. Overall, with the elimination of troublesome errors, this tool allows revenue cycles to be predicted with ease. In addition to providing an enhanced patient experience, successfully predicting and managing revenue cycles are both vital for healthcare organizations to thrive. At Experian Health, we believe that strong RCM is fundamental to any lucrative healthcare organization that strives to provide the highest quality of care. With our comprehensive suite of healthcare IT solutions, the current stress of RCM can soon become your organization’s best asset.
Multi-specialty, academic, non-profit healthcare delivery system increases productivity and improves resource efficiency The prior and pre-authorization inquiry and submission processes within patient access can be challenging for healthcare providers, as it’s often manual, cumbersome, and steps within the process can be missed or poorly integrated—frustrating both staff and patients. Experian Health’s Authorizations helped one of its healthcare delivery system clients increase efficiency and empower staff to spend more time with patients to discuss estimated liability and financial responsibility and provide them with payment plan options. “We needed an authorization solution that was integrated within our Epic workflow, easy-to-use and that our team could rally behind. We found that solution in Experian Health’s Authorizations tool.” —Director, Pre-service Center, multi-specialty, academic non-profit healthcare delivery system Inquiries are now automated and take place behind the scenes without user intervention. Submissions guide the user through the workflow, auto-filling all payer data and only prompting the user only when manual intervention is required. Hear more about this client’s success using Authorizations. Read the full case study.
During HIMSS17 in Orlando, Jason Wallis, Senior Vice President, Patient Access at Experian Health, sat down with IntrepidNOW to talk patient access and how Experian Health\'s solutions help providers across the revenue cycle. Excerpt below: \"We have the eCare NEXT platform that drives a lot of our integration and patient access products. So anywhere from orders, all the way back to collecting payment from the patients, so right identity, checking eligibility, authorizations, medical necessity, patient estimates and then a tool to collect payment from that patient for those estimates. ...we’ve really taken this eligibility rail that has been pretty standard in the industry, and we’ve added a lot of content and innovation on top of those rails. So I almost call our clearing house a content network. So we drive more value in that transaction by normalizing, cleaning the data and enriching it with other data assets, so that downstream our clients and our products are better because of that advanced content. ...our integrated platform takes this data and be able to start chaining products together, and deliver back to the provider an exception based workflow that really has their staff only looking and working when something’s gone wrong. And the more we can automate around products and even products chaining off of other products, so eligibility to notice of admission, we are able to remove some of those manual single point solutions because it’s integrated in a single workflow.\" Listen to the full podcast Learn more about Experian Health\'s patient access solutions and eCare NEXT platform
