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Unlocking Revenue Potential
Capture More Dollars by Identifying Other Payment Opportunities
Capturing hard-to-find insurance coverage can be a challenge, but with the right tools and processes in place, your healthcare organization can unlock more revenue by finding coverage not disclosed at the time of service.
Watch our short video from FinThrive subject matter expert, April Wilson, as she shares how to obtain the hardest-to-reach revenue with the help of robust analytics and technology.
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Video Transcript
Hi. This is April with your revenue recovery minute.
Today, we're talking about insurance discover. Specifically, that is looking for coverage that was not necessarily disclosed at the time of service, and if it's a true self pay patient, you wanna see if you can possibly get reimbursed by a payer for some of the cost of that encounter.
Specifically, up to five percent of true self pay patients do actually have insurance that is billable. And that is one way to help you recoup revenue that you otherwise might lose.
A best practice insurance discovery program can be deployed anywhere within the revenue cycle from front end to back end. It's typically combined with an eligibility program, so once that insurance is discovered, you can check and see whether or not that coverage is still active for that particular patient.
And as always, from best practice perspective, you want to have robust reporting and analytics to help you understand where you might have gaps in terms of finding Medicaid, Medicare or commercial coverage. And it'll also include automation so that you can be as efficient as possible when it comes to loading coverage that you discover, and take a little bit of a burden off of your staff.
Thanks, and have a great day.
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