The importance of eligibility verification throughout the patient access process
As healthcare provider profit margins continue to be threatened by unprecedented industry changes, it’s more important than ever to focus on the details of the revenue cycle—especially eligibility verification.
Today’s continually changing and increasingly complex healthcare environment requires close attention to validating coverage, benefits, co-payments and deductibles. Failure to prioritize this seemingly small step in the patient access process has huge implications for providers and patients alike:
As benefits become more granular and coverage more unpredictable, providers are recognizing the need to take measures—including implementing workflow automation and data optimization—to help them tackle the increasingly intricate eligibility process.
By approaching eligibility verification right from the start, and managing it closely on a continuous basis, providers have the opportunity to reduce financial risk, increase revenue, improve patient relationships, and streamline staff workflow.