Services
Patient Payment Estimation Services
Overview
Implementing preventative practices prior to patient visits makes it easier to collect patient balances pre-service and reduces the likelihood of denied claims. However, discussions with patients about financial responsibility can be challenging due to the lack of standardized and clear pricing, complex insurance coverage, financial education and medical jargon, and the emotional stress caused by potential health issues. Healthcare organizations also struggle with administrative burdens, as estimating and communicating costs is a time-consuming process.
With accurate information about the cost of their medical services, patients can make informed decisions about their treatment plans and be better prepared to handle financial payments. AGS Health offers patient payment estimation services that make it easy to determine out-of-pocket costs. By using industry-leading tools and automated processes, we eliminate the need for manual calculations that can be confusing and lead to delays. This allows for transparent communication and promotes trust and satisfaction.
SERVICES PROVIDED
Prepare for patient conversations on financial responsibility by collecting accurate good faith estimates.
- Patient co-pay and deductible amounts are identified directly from payer databases.
- Deliver estimates in compliance with the “No Surprises Act.”
BENEFITS
Unlock the benefits of patient payment estimation services
Efficient Data Management
Integrating with payer databases in real-time provides up-to-date and standardized estimates, reducing overhead and inbound patient calls while increasing staff efficiency.
Transparent Financial Experience
Empower patients to make informed treatment decisions by providing precise cost information, reducing financial barriers, and improving satisfaction for a positive experience.
Improved Compliance
Combine clear and detailed estimates with proper patient payment education in a timely manner to ensure compliance with regulatory requirements to avoid potential penalties or legal issues and get paid faster.
Create clearer patient financial conversations before service.
Additional integrated financial clearance services to streamline your revenue cycle
Insurance Eligibility and Benefits Verification
Identify active third-party insurance coverage and benefits to reduce claim submission errors and back-end denials.
Prior Authorization Services
Ensure patients are financially secure prior to service by obtaining timely prior authorization.
Pre-Registration and Pre-Service Collections
Secure pre-service collections and patient education on estimated financial liability and payment options.
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Improve patient financial clarity before service
Strengthen estimate accuracy, good faith estimate workflows, and patient responsibility conversations with financial clearance support designed to improve transparency, compliance, and pre-service collection performance.
