The Issue:
Payer reimbursements are decreasing, coverage and benefits are constantly changing, and the return to permission healthcare of referrals and pre-certifications has begun. Additionally, patients are bearing a greater percentage of the bill through increased co-pays and deductibles. In today’s economic times, patient insurance status is changing far more frequently, and there is an increase in patients appearing without insurance. These factors put increasing pressure on you to identify the coverage patients have at the time of service and collect patient payments before they leave the office.

The Solution:
e-MDs, through partnership with Gateway EDI, now have the solution available right from your software. This solution enables you to check a batch of patients’ eligibility - driven right from your schedule - prior to the patient appearing in the office. This gives you the ability to call before an appointment when coverage is questionable, and for those payers providing the information, collect the appropriate patient payment the day of service. You will also know the type of plan the patient has, and with a managed care plan, a reminder call can be placed asking the patient to secure a referral or pre-certification prior to the visit. Combined with the ease of integration, this will greatly lessen the administrative burden on the office, and will ultimately lead to faster payment, both from patients and insurance companies.

Payer provided eligibility and benefit information is more readily available. As the industry struggles with adoption issues due to the variability of payer websites, disconnected workflow and dual entry challenges of stand-alone sites, we have learned that the most valuable solutions are integrated solutions tied into the office staff’s workflow.

Integrated Eligibility from e-MDs and Gateway EDI - designed to improve efficiency and the revenue cycle for your office.

Click Here to sign up for more details.

For more information, email salessups@gatewayedi.com or call 1-800-969-3666 to speak with a representative.