Unlock Hidden Revenue with Our Coverage Discovery Services
Understanding the Source of Lost Revenue
The source of this potential increased revenue lies in coverage that patients might not even be aware of. Whether it's young adults covered under a parent's plan or individuals covered through a spouse's arrangement, these overlooked coverages contribute to revenue loss.
At PulseMedix, we recognize that a significant portion of revenue loss in healthcare is attributed to uninsured or underinsured patients. Our Coverage Discovery Services go beyond conventional methods, aiming to cut your revenue loss by up to 10%, ensuring you reclaim the revenue you deserve.
Our team is committed to tracking down coverage that patients may not be aware of, securing all possible reimbursements for our clients. The revenue potential lost to uncompensated care is staggering, reaching hundreds of billions, and PulseMedix is here to ensure you recover what's rightfully yours.
How It Works:
Automated Coverage Discovery:
Utilizing state-of-the-art software tools, we automate the process of checking for coverage when a patient indicates they are self-pay. This includes advanced search features, automatic claim scrubbing, a vast database, and algorithms designed to eliminate false positives.
Identifying Hidden Coverage:
Our services go beyond what patients may know, uncovering secondary coverage, and ensuring no stone is left unturned in the pursuit of maximizing reimbursement.
Reducing Administrative Burden:
By streamlining the eligibility verification process, we minimize errors upfront, reducing claim denials and rejections that often result from front-end mistakes.
Transparency in Reporting
Even with outsourcing, you deserve to stay informed about your medical claims. PulseMedix ensures transparency by providing regular reports detailing our activities and your standing with claims. W
Front-End Eligibility and Benefit Verification
Streamline Patient Interactions:
Improving the efficiency of staff interactions with patients.
Increase Front-End Collections:
Ensuring you collect what's due right from the start.
Establish Correct Code Matching
A crucial step in preventing rejections and denials.
Benefits of Using PulseMedix Coverage Discovery:
Maximize Reimbursement:
Decrease Days in AR:
Reduce Collections Costs:
Increase Patient Satisfaction:
Efficient Registration Process:
Qualified Billing Staff:
Our Approach to Healthcare Discovery
PulseMedix leverages advanced technology and a strategic process to maximize reimbursement. Our approach includes:
Comprehensive Search Practices: We employ best practices, historical information, and proprietary databases to ensure thorough coverage discovery.
Confidence Scoring: Our weighted confidence scoring minimizes false positives, ensuring accurate identification of unknown coverage.
Detailed Scanning: From pre-service to final scrub, our detailed scanning identifies coverage, preventing discrepancies and incorrect financial classifications.