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Solutions > Revenue Cycle Management > Access Integrity

Access Integrity

With increasingly changing reimbursement models placing more payment liability with the patient, health systems must increase their focus on cash collections, reduction of front-end denials and improving efficiencies during patient registration.

MedAssets Access Integrity suite of solutions and services create efficiencies in the financial clearance process and give patient access staff the information necessary to quickly and accurately complete patient registration. The added ability to continually monitor results leads to sustainable process improvement, denial avoidance and increased collections.

Patient Access Workflow

Streamline pre-registration functions and effectively manage all vital front-end processes.

The cornerstone to streamlined and best practice patient access process is workflow management. Patient Access staff must not only manage multiple pre-registration and registration functions, but also the various technologies that support them. By using intelligent workflow and queuing, registrars can verify that all pre-registration activities necessary for financial clearance are completed.

MedAssets helps patient access staff manage pre-registration activities necessary for financial clearance. But improving financial clearance also may require enhancing business processes and staff training to improve collections and patient satisfaction.

MedAssets team of patient access experts and solutions helps health systems centralize workflow processes and improve overall financial clearance in order to achieve increased up front collections and patient satisfaction.

Patient Access Workflow, patient signing in to hospital with hospital access staff

Eligibility and Benefit Verification

Easily verify patient coverage and benefits

The revenue cycle and financial clearance starts here. Failure to collect accurate and detailed eligibility and benefits information at the beginning of the revenue cycle leads to many downstream problems including reduced patient collections, inaccurate claim submission, and increased billing rework.

MedAssets helps health systems be confident that their revenue cycle gets off to a good start by verifying the patient and the services provided are covered by the patient’s insurance company during the pre-registration and registration process.

Eligibility and Benefit Verification Image

Patient Bill Estimation

Reduce bad debt with patient-friendly estimates at the point of access

Fueled by increases in patient liability as a result of increasing deductibles and co-pays, combined with the fact that more than 50 million Americans are uninsured, healthcare bad debt is increasing at an alarming rate. In the face of these issues and the fact that more and more states are requiring providers to furnish patient estimates, providers need tools and expert support to generate accurate, patient-friendly estimates, prior to or at the time of rendered services.

MedAssets patient-centric approach combines technology with performance improvement consulting to help health systems improve operational and financial performance.

Patient Payment Collection

Improve the ability to collect patient balances before discharge

As patients continue to experience increased out-of-pocket responsibility due to high deductible health plans, or lack of insurance coverage, providers must take steps to improve patient payment collection efforts, reduce rising A/R days and decrease bad debt.

To meet these demands, health system leaders have specifically targeted improving up-front collections. MedAssets provides both payment collection technology, as well as expert consulting and service engagements designed to improve net revenue, accelerate receivables and reduce bad debt write-offs.

Medical Necessity Determination

Protect patients from unexpected liability for charges associated with Medicare claims and protect your institution from allegations of Medicare fraud

Compliance is critical to receiving full payment from Medicare — a payor that provides the largest percentage of reimbursement for many health systems. MedAssets can help providers comply fully with all CMS medical necessity rules and achieve accurate and proper Advanced Beneficiary Notification documentation in order to receive full reimbursement.

Registration Quality Assurance

Validate patient information is accurate and complete prior to billing

Getting patient data right from the start has a wide-reaching impact at the facility, but most importantly, on the revenue cycle due to its effect on net revenue and cash flow.

MedAssets helps providers avoid the burden and cost of manual quality assurance reviews, back-office rework and registration-caused denials. By auditing information and correcting errors prior to billing, health systems can improve efficiency and quality at the point of registration, ultimately leading to reduced bad debt.

Biometric Patient Identification

Verify patient identification, improve patient safety and protect patient privacy

Positive patient identification is the most important step in verifying that the right care is provided to the right patient. With an increase of medical identity theft, healthcare providers need a solution that assures patient safety and protects personal patient information.

MedAssets helps health systems confirm the patient’s identity at the point of care with cutting edge Palm Vein Pattern Recognition Biometrics.

Patient Access Staffing and Support

Enhance your team’s expertise to increase efficiency, productivity and patient satisfaction

Having a streamlined and high performing patient access area not only supports patient satisfaction, but it also impacts the overall performance of your revenue cycle.

MedAssets can supplement your staff with our professionals to help identify opportunities to increase cash performance, productivity, quality and efficiency across all of your patient access functions.

Access Integrity

MedAssets' Access Integrity solutions create efficiencies in the financial clearance process and give patient access staff the information necessary to quickly and accurately complete the registration process for all patients. In addition, Access Integrity continually monitors results to make sustainable process improvement, denial avoidance and increased collections a reality.

Access Manager
Streamline pre-registration functions and effectively manage all vital front-end processes with Access Manager, an efficient and effective work flow and work queuing tool designed to increase front end staff productivity. This robust, Web-based solution manages the myriad of disparate pre-registration applications not supported in legacy registration systems allowing patient access staff to track, prioritize, assign and complete all pre-registration activities necessary for financial clearance. Learn more.

Biometric Patient Identification System
Confirm a patient’s identity at the point of care using cutting edge Palm Vein Pattern Recognition Biometrics, by utilizing a near-infrared light wave scanner to capture the vein pattern in a patient’s palm. Learn more.

Registration Integrity
Correct errors in real-time and batch to validate patient information prior to billing by enabling patient access staff with an intuitive registration audit and reporting solution. Reduce or eliminate denials caused by registration errors, consistently measure performance, and get paid faster with this robust workflow and rules-based solution. Learn more.

Patient Liability Estimation
Provides accurate patient liability estimates during or prior to the point of care using CarePricer®. CarePricer provides the estimates using historical claims data, current charge master pricing, payer-specific contract terms and patient specific benefits. Learn more.

Point-of-Service Collections
Improve the ability to collect patient balances before discharge with focused assessment, training and implementation of a standardized point-of-service collection program for all patient access intake areas. Learn more.

Medicare Advance Beneficiary Notification
Comply fully with all CMS Medical Necessity rules and fulfill your ongoing commitment to achieving accurate and proper Advanced Beneficiary Notification documentation to receive full reimbursement. Learn more.

Eligibility Services and Benefits Verification
Verify eligibility and validate coverage for services through Eligibility Verification, which provides automated real-time and batch verification of coverage and benefits from more than 400 payors before services are provided. Learn more.