Patient Demographics Entry

Enhancing Patient Demographics Entry (Patient Registration) Services

The precise collection of patient details stands as a cornerstone within the revenue cycle process chain, often undervalued. Beyond merely shaping the medical record’s foundation, the data gathered during demographic entry significantly impacts insurance claims payment. Ensuring error-free capture of patient information is paramount for submitting clean claims, expediting claims processing by Payers.

At the point of service, whether through paper-based registration or scheduling systems, the front office must meticulously capture patient information. The accuracy of this data is pivotal in determining patient eligibility, securing prior authorizations, and filing claims without errors. Furthermore, leveraging accurate patient information is imperative for effective population health analytics.

#Insights into Patient Registration / Patient Demographics Entry Process

At SPECIALIZED BILLING, our team of revenue cycle professionals undergoes rigorous training to validate all information provided in face-sheets. Should any discrepancies arise, our team promptly contacts the provider’s office or SPECIALIZED BILLING company to rectify incomplete or erroneous data. Subsequently, validated information is entered into the client’s practice management software with a high degree of precision within a turnaround time of 24-48 hours. The following information is meticulously reviewed and updated within the practice management system:

##Demographic Information

Patient’s legal name, age, gender, address, and contact numbers

Patient’s social security number for identification purposes

##Healthcare Insurance Information

Payer details (Payer name, claims mailing address, group and policy numbers)

Information regarding primary and secondary Payers

Medicaid or Medicare card details (if applicable)

##Medical Information

Any allergies

Special requirements (interpreter services, assistance for physically disabled individuals, medication details, Ambulance services, stretcher access, etc.)

##Payment Information

Details of the individual responsible for payments including their name, address, and contact number

#Ramifications of Inaccurate Patient Information Capture

Inaccuracies in capturing patient information could lead to:

Increased Claim Denials and Payment Delays:Incorrectly captured details often result in claim rejections by clearinghouse systems and payer claims adjudication platforms. This can lead to delays in payment acquisition or losses due to unpaid claims.

Compromised Population Health Analytics:Accurate demographic data serves as the foundation for effective population health analytics, facilitating the identification of pertinent population segments.

#Advantages Provided by Our Patient Demographics Team

Did you know that errors in patient demographics capture can cause medical practices to lose up to 7% of their annual revenue?

Ensuring the accurate entry of patient information not only expedites reimbursements but also reduces accounts receivable days and minimizes rework. Our Patient Registration team is trained to identify errors in the registration process, collaborating closely with you and your practice clients to:

Achieve Over 40% Operational Cost Savings:Our team based in India efficiently handles work queues and processes each patient record meticulously, reducing the expenses associated with in-house Patient Registration Services.

Enhance Productivity and Accuracy:With guaranteed service levels on accuracy and turnaround time, you can trust that our team delivers work of the highest quality.

Mitigate Claim Denials and Enhance Clean Claim Submission:Improving the quality of the Patient Registration process leads to higher first-pass rates and fewer claim denials, ultimately resulting in accelerated cash flow.

Facilitate Account Management and Collaboration:Our account management team works closely with you to enhance the efficiency and effectiveness of the Patient Registration process. Through real-time portals and daily status reporting, we ensure seamless coordination and reconciliation of accounts to prevent any disruptions in the revenue cycle chain.

Expertise in Various Practice Management Systems:Proficient in over 20 different practice management systems, including Kareo, eClinicalWorks, Advanced MD, EPIC, and more, we adapt to your specific software requirements seamlessly.

Offer Medical Coding and Charge Entry Services:Depending on the software functionality, the Patient Registration process may be integrated with Medical Coding and Charge Entry processes. At SPECIALIZED BILLING, our proficient medical coders ensure accurate charge entry across various medical specialties while effectively managing the patient registration process.