Solution Sheets

Solution Spotlight: Eligibility Verification

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PointClickCare Eligibility Verification allows skilled nursing providers to verify coverage status before admission and regularly check throughout a resident's stay, to minimize the risk of non-payment. The tool also gives providers the power to accelerate claims processing, optimize revenue cycle management, and overcome common insurance eligibility challenges all through a single source. Understand the resident's complete financial picture Inadequate or changing coverage creates reimbursement issues and delays in payment to your organization. This often leads to cash flow issues that can negatively impact the financial viability of the business. Eligibility Verification provides instant access to insurance data from within the PointClickCare electronic health record (EHR) platform. Verify multiple providers and residents with a single login to make more timely, informed decisions about prospective and current residents throughout their stay. Insurance coverage checking reports ensure any changes get flagged and brought to the attention of your team. Optimize census quality mix Eligibility Verification automates the transfer of census data and the right mix of residents strengthens the financial health of your organization. Real-time reviews of resident insurance with census data reduces the likelihood of coverage denials. Reports provide valuable insights into determining the most profitable resident types for your organization. Your team can proactively screen and make admission decisions to positively impact the bottom line. Solution Spotlight ———————— ———————— Eligibility Verification ———————— ————————

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