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How Increased Medicare Advantage Enrollment Impacts Providers

As the “silver tsunami” of baby boomers aging into Medicare continues, so does enrollment in Medicare Advantage (MA) plans. A staggering 10,000 people are eligible to enroll in Medicare each day. From 2008 to 2017, MA plan enrollment grew from 9.7 million to 19.6 million. This growth represents 34 percent of all Medicare beneficiaries.

How to Take Control of Medicare Open Enrollment

Medicare 2018 Open Enrollment starts October 15, 2017. Are you prepared for patient coverage changes? Taking charge of coverage changes during Open Enrollment is the best way to ensure you’re armed to fight rejected claims in 2018.

Bill Well and Prosper: Improving 3 Key Stages of Reimbursement to Make your Business Thrive

Navigating today’s dynamic healthcare billing and reimbursement climate can throw costly challenges at providers and their busy billing teams. Challenges like capturing accurate insurance data, timely claim submission, managing claim denials and rejections, handling review requests and audits. These issues and more contribute to reaching your number one goal of reducing days in A/R and getting more cash through the door.

Improving Home Health Intake Procedures Infographic

Home Health and Hospice providers must have thorough intake procedures and processes to lay the foundation for the entire revenue cycle process. Successful claim acceptance rates and ultimate reimbursement starts at intake.  eSolutions offers you some helpful tips to improve your intake procedures in our latest infographic.

Bill Well and Prosper – Improving 3 Key Stages of Reimbursement to Make your Business Thrive

Navigating today’s dynamic healthcare billing and reimbursement climate can throw costly challenges at providers and their busy billing teams. Challenges like capturing accurate insurance data, timely claim submission, managing claim denials and rejections, handling review requests and audits. These issues and more contribute to reaching your number one goal of reducing days in A/R and getting more cash through the door.

Improving Intake Procedures

Employing effective intake procedures that include comprehensive patient eligibility verification lays the foundation for your entire reimbursement process. Inaccurate eligibility information results in rejected claims, delayed cash flow and workflow disruption. eSolutions' Tyler Wells explains intake procedure challenges and how checking eligibility in real time will reduce rejected claims. 

Further Reading - Bill Well and Prosper Step 1: Eligibility Verification

Using Enhanced Eligibility Verification to Identify Medicare Coverage

Reverifying patients' Medicare coverage plays a very important part in keeping your cash flow healthy. Doing this manually can take up a lot of time and resources, but if providers skip or put off this step they run the risk of billing claims incorrectly. This video quickly reviews the issues with reverifying Medicare coverage, the negative impacts the manual process has on healthcare facilities, and what eSolutions can do to help make eligibility verification faster and easier.

Medicare Open Enrollment Video

While open enrollment for Medicare Advantage Plans happens every year, providers are often negatively impacted by beneficiaries changing their coverage. This video briefly explains open enrollment, the issues providers are facing when their patients switch plans, and how eSolutions can identify changes in coverage.

A Guide to Choosing the Right Clearinghouse

An efficient revenue cycle solution is highly dependent on the quality of your company’s clearinghouse. First and foremost, in order to identify which clearinghouse is the best fit for your company, it’s important to recognize what your billing system may be lacking. Here are some key features you should be on the
lookout for: