Services
Integrated Financial Clearance Services
Overview
Financial clearance activities play a critical role in laying the foundation for a high-performance revenue cycle. Unfortunately, many organizations lack the necessary labor resources, technology, and operational processes to capture all the critical information, eligibility, and authorizations ahead of the patient visit. As a result, roughly half of all denials are now attributed to front-end revenue cycle management issues.
AGS Health’s industry-leading integrated financial clearance model ensures proper alignment among all revenue cycle management functions through a seamless process that follows the patient journey from scheduling to authorization and pre-service collections, providing patient education around expected financial responsibility along the way. Our approach has helped numerous healthcare organizations improve patient satisfaction, increase reimbursement, accelerate cash flow, and reduce unnecessary downstream activity. As a result, our customers can re-deploy internal resources to improve the patient experience and reinvest capital into caregiving capabilities.
SERVICES PROVIDED
Leverage our experience and expertise for a stress-free financial clearance experience.
Insurance Eligibility and Benefits Verification
Identify active third-party insurance coverage and benefits to reduce claim submission errors and back-end denials.
Prior Authorization
Ensure patients are financially secure prior to service by obtaining timely prior authorizations.
Patient Payment Estimation
Prepare for patient conversations on financial responsibility by collecting accurate good faith estimates.
Pre-Registration and Pre-Service Collections
Secure pre-service collections and patient education on estimated financial liability and payment options.
BENEFITS
Improved Patient Satisfaction
Before receiving services, patients obtain clear communication about their financial obligations for services, including costs and payment options, overall satisfaction.
Increased Revenue and Cost Savings
A comprehensive picture of expected financial responsibility results in enhanced transparency and increased administrative efficiencies to optimize collections, streamline billing, and increase revenue.
Reduced Denials
Verifying and validating insurance coverage and prior authorization requirements at the beginning of the process minimizes the likelihood of claim denials, resulting in prompt reimbursement.
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Additional patient access services to streamline your revenue cycle
Patient Scheduling Services
Effectively book and manage patient appointments, including initial consultations, follow-up appointments, and medical procedures.
Provider Enrollment and Credentialing Services
End-to-end enrollment and credentialing help your healthcare facility operate smoothly and efficiently, ensuring appropriate reimbursement for your providers.
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Let’s transform your revenue cycle today
When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.
