A simple error in eligibility verification can prove to be quite adverse. An error could be marking a termed patient as effective (overlooking). At EastSide Billing INC. we cross check on websites, have a QA double check on termed patients, record all calls, and if need be, we call again. A large number of claims are denied or held up due to lack of adequate or incorrect coverage information given by patients during hospital visits and proper coverage information not updated by the hospital staff. This improper insurance eligibility verification directly impacts reimbursements. Insurance companies regularly make policy changes and updates in their health plans. Hence it is necessary for the medical billing company or provider to verify if the patient is covered under the new plan to avoid problems with reimbursement. Checking that the insurance coverage accepts the claim on the first submission, whereas non-verification leads to many annoyances like rework, increased errors, and patient dissatisfaction, other than causing delays and denials.

A common error done during benefit verification is entering inaccurate frequency of a particular procedure and/or inaccurate coverage percentage of different procedures. This can be due to typo or the representative itself giving wrong information. Again here too we make it a point to double check on websites, record calls, if need be call again. We also request fax copies from the insurance to rectify any possibility of blunder.Being able to verify a patient's eligibility and benefits information in a timely manner is mandatory. Doing this on a continuous basis needs an efficient and cost effective solution which EastSide Billing INC. equips you with. EastSide Billing INC.'s insurance eligibility and benefits verification service obtains all the necessary information required including what kind of coverage the patient has, what is the deductible, and how much deductible has been applied.The correct and appropriate information creates further revenue and reduces administrative costs thus increasing office efficiency and staff production by wiping out hours on the phone or using numerous websites to obtain eligibility information.

Case scenarios could be the clinic or hospital files the claim but the insurance company does not receive it on time, sometimes an agent misses to call on an ageing report, or a doctor gives a service which is not covered according to the insurance. To avoid such errors we relentlessly follow up on insurance ageing and try to make payments for all the claims in a timely manner. We give concise solutions to the clinic/doctor to rectify the mistake and re-file the claim along with the required documents. We also check for payment with the secondary insurance if a certain procedure is not being compensated by the primary one. If any claim is submitted inaccurately then the job of the AR team is to correct it and submit the claim once again. The AR team constantly keeps in touch with the insurance company and the medical office. The AR team consists of follow-up and analytics staff who possess qualities of attention to detail, diligence, and analytical skills which prove to make them a crucial part of the organization.

Inaccurate postings can result in serious dips in finances for your practice. Mistakes can easily occur with a simple slip of a finger. Inaccurate postings may result in false credits, deflated accounts receivable, and incorrect patient statement. EastSide Billing INC. offers accurate and quick payment posting through attention to detail. For example giving extra attention to whether the payment amount entered matches the money received or does the reaming balance match the amount designated as patient responsibility and much more. Payment posting involves posting and reconciling posting activities with deposits. Although it seems simple enough, this is an extremely vital feature of the revenue cycle. The payment posting process effects many other functions of the medical office and can have a major effect on patient satisfaction, efficiency, and overall financial performance. Accurate payment posting helps to speedup denial resolution time, helps send accurate claims submission to secondary and tertiary payers, and enhances the current process.