RP Sanjiv Goenka Group

Eligibility and Enrollment Services

Reduce uncompensated care with real time Eligibility and Enrollment services

Maximize reimbursement, increase cash flow and reduce bad debt

Patient Connect

    Full-service digitally enabled patient Eligibility and Enrollment solutions

    Connect with your underinsured and uninsured patients both – before and at the point of care to – increase front end efficiency and patient cooperation. Tap into our patient Eligibility and Enrollment services on the cloud, powered by intelligent workflow, automation and machine learning, to integrate real-time patient enrollment and eligibility verification into your workflow.

    Identify and verify commercial insurance
    Confirm and check for Medicaid eligibility
    Identify patients with Medicaid qualifiers
    Determine patient status in real time

    Gather patient
    eligibility and enrollment documents via mobile app

    Full-service digitally enabled revenue cycle solutions

    Connect with your underinsured and uninsured patients both – before and at the point of care to – increase front end efficiency and patient cooperation. Tap into our eligibility and enrolment services on the cloud, powered by intelligent workflow, automation and machine learning, to integrate real-time enrollment and eligibility verification into your workflow.
    Identify and verify commercial insurance
    Confirm and check for Medicaid eligibility
    Identify patients with Medicaid qualifiers
    Determine patient status in real time
    Gather patient eligibility documents via mobile app

    Patient Eligibility & Enrollment services on Cloud

    Firstsource Eligibility and Enrollment services are now cloud enabled to help you across four key steps of engaging with patients when it comes to their insurance coverage. Explore further by clicking the tiles.

    Insurance Discovery

    Combine innovative technology with the human touch to explore every coverage option and Payer source for patients.

    Financial Assistance Screening

    Help uninsured and underinsured navigate government and charity programs. Simplify and accelerate the financial assistance process with digitized screening.

    Finance Assistance Enrollment

    Identify and support patients through digitally enabled financial assistance screening and enrollment processes to achieve higher conversion rates.

    Digital Document Submission

    Accelerate outreach and electronically gather supporting documentation to fast-track processing.

    Digital Document Submission

    Accelerate outreach and electronically gather supporting documentation to fast-track processing.

    Outcomes delivered

    Lower
    uncompensated
    care costs

    Reduced
    self – pay

    Reduced
    bad debt

    Increased
    net return

    Mt. Carmel health achieves significant ROI within 3 years of deploying digitally enabled Eligibility & Enrollment Services

    MFocusSM

    Patient cooperation can drop by 33% once they leave your facility*. Our automated screening tool MFocussm helps you collect and validate eligibility information in real time – regardless of whether they are inpatient, outpatient or Emergency – driving higher patient cooperation and revenues.

    Mt. Carmel health achieves significant ROI within 3 years of deploying MFocusSM

    MFocus℠​ is designed with both your patients and you in mind

    MFocus℠ ensures your patients are aware of their financial responsibilities in a professional and friendly manner, while simultaneously converting otherwise lost dollars from self pay accounts to revenue.
    The solution integrates both internal and external systems with mobile app based patient engagement strategies and skilled personnel. Real-time exchange and visibility of data underpinned by intelligent automation delivers efficiency and accuracy in communication and decision-making.

    The impact of patient financial experience on hospital profitability

    Medicaid Enrollment and Unwinding:
    Outreach, Education and Enrollment
    Assistance

    “It’s really been a great experience for us. We continue to improve our cash position while better serving our community.”

     
    Jeffrey Ellerbrock,
    Vice President, Patient Business. Services,
    Mount Carmel Health System
     

    Explore insights

    The impact of patient financial experience on hospital profitability

    How business intelligence can mitigate effects of uncompensated care

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