Scheduling and Eligibility
Streamlining the process.
Practices tell us that they can spend up to 45 minutes on hold waiting for a payer to confirm eligibility. With our solutions, you can submit eligibility requests in a flash, see the response displayed in seconds, and instantly correct and resend requests labeled "Invalid" or "Rejected
Verifying patient eligibility is always the first step in successfully managing the claim lifecycle process. If you check eligibility by phone, you will only be able to verify patient coverage for as many patients as staff time allows. The number one reason for rejected claims is invalid or incomplete subscriber information.
RKB solves this problem by delivering critical eligibility data to your desktop in a matter of seconds using a standard web browser — allowing you to obtain and verify the correct subscriber information before claims are submitted. Eligibility responses can also show what you need to collect from your patients to cover co-payments and deductibles.
Eligibility responses are presented in a consistent, easy-to-read format. All information is organized so that your staff can quickly find the information (for example, co-payment amount) they are looking for without having to wade through pages of randomly arranged information.
All information is displayed in a consistent format regardless of the payer.
You can obtain real time eligibility information from payer websites without logging on to individual payer websites through our enhanced payer access solution. We access the different payer websites — but provide you with a single logon for all payers — and we “normalize” all information so that it is presented in the same, consistent and easy-to-read format
Much more than an electronic appointment book, our scheduling software is an end-to-end integrated workflow system that incorporates key information and processes required for an efficient patient experience from the time the appointment is first scheduled through checkout.
Making The Decision to adopt a Point-of-Care (POC) patient payment model is the right conclusion to ensure your practice’s long-term financial viability. It increases cash flow, reduces billing costs and minimizes patient bad debt write-offs. To accomplish this, providers must address the full range of patient financial responsibility components from deductibles, co-pays, and co-insurance to uninsured self-pay patients.
RKB uses real time patient benefits verification, payer contracted rates and the practice fee schedule to accurately calculate patient responsibility at or prior to the Point-of-Care. RKB also provides an
e-cashiering payment system that allows the provider to either collect payment at the time of service or set up a payment plan prior to the patient leaving the office.