Insurance Verification and Authorization Services Helping Healthcare Facilities to Get Paid

by | Last updated Jul 4, 2023 | Published on Nov 27, 2013 | Resources, Press Releases | 0 comments

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Outsource Strategies International is offering insurance verification and authorization services to verify patient benefits and coverage before physicians provide services. Proper eligibility and benefits verification is a critical step that informs physicians about who will be paying and how much before patient services are rendered. Healthcare services provided without proper patient eligibility verification and authorization can result in claim denials and decreased revenue. OSI’s services are designed to help physicians overcome these issues and get paid.

The Medical Group Management Association (MGMA) recently reported that 1 in 4 claims are delayed or denied and 80% of those are due to errors in eligibility. This happens because physicians and their practice staff have no way of knowing if a patient is eligible for coverage without verifying this information directly with the health insurance company. OSI has sound procedures in place to do so.

This Tulsa-based medical billing company takes care of the entire patient benefit verification service process – from receiving patient schedules, verifying patient’s insurance coverage with the carrier, contacting patients, if needed and updating the billing system with eligibility and verification details.

“Making sure that providers get paid for the services they provide is what OSI does best.  As a provider, you should be concerned about your patient’s health, not how many hours you are going to spend trying to be paid for those services,” says Natalie Tornese, one of the senior managers of the company.

Coverage is verified prior to the patient’s first office visit. OSI’s benefit verification team verifies insurance coverage, co-pays, co-deductibles deductibles, patient policy status, effective date, type of plan, coverage details, referrals, pre-authorizations, plan exclusions, lifetime maximums, secondary insurance information, if they have Out of Network Benefits and if prior authorization is needed. The patient’s coverage for any procedures, services or tests that the physician practice may perform is also verified.

The comprehensive suite of insurance verification and authorization services helps enhance practice revenue and ensure that services provided do not go unpaid. OSI’s clientele includes hospitals, clinics, long term care facilities, multi-specialty groups, and physicians. Providers that do not have a front desk and work by themselves would especially benefit with these services.

Providers wanting information on OSI’s affordable patient eligibility verification services or a free trial should call the company’s toll-free number. Support is available 24×7.

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