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Eligibility Verification

Maximize payments and minimize errors

Eligibility Verification and Pre Authorization

Easy, Efficient & Cost Effective

With the Affordable Care Act, insurance and eligibility verification is absolutely critical. Identifying patient responsibility upfront prior to the visit is critical to managing the receivables. In the absence of proper eligibility and benefit verification, countless downstream problems are created — delayed payments, reworks, decreased patient satisfaction, increased errors, and nonpayment.

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Simplified Eligibility Verification Process

A recent survey of retail healthcare consumers showed that 52 percent of consumers would pay from $300 to $500 or more by credit or debit card when they visit a physician, if an estimate was provided at the point of care.

To avoid these problems, WWS provides a remotely-hosted Centralized Eligibility Unit for hospitals, faculty practice plans, PMS/EMR vendors, and billing companies. The solution consists of WWS staff, technology, management and expertise that delivers high-quality, cost-effective patient insurance eligibility and related services.

Get Complete Information From One Source

Our insurance eligibility and benefits verification service obtains all pertinent information required – not only coverage confirmation, but what kind of coverage the patient has, what their deductible is, and how much has been applied. Having all crucial information generates more revenue and reduces administrative costs

WWS Eligibility Verification Services has the potential to:

  • Increase cash collections by reducing write-offs and denials
  • Improve Account Receivable Cycles (reduce Account Receivable Days)
  • Increased number of clean claims
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Patient Scheduling

Proficient patient scheduling is key to improved patient experience prior to and after the visit. The most important factor in the success of a practice is patient flow. An office that can successfully smooth out the spikes in its schedule can see more patients more efficiently, which reduces wear and tear on office staff and physicians.

WWS Patient Scheduling Service analyzes the peaks and valleys of patient flow and seasonality to manage the schedules. Capturing critical patient information while providing exceptional patient experience on call has helped our physicians reduce the overall wait time for the patients and reduce the time for new patient registration/enrollment.

Our scheduling service offers extremely talented staff, with flexible staffing schedules to manage call flow for appointments. The staffing schedule is planned in line with the seasonality and can ramp up at short notices to manage the patient flow for a superior patient experience.

The seasonality factor is built into the staffing plan to ensure that we are not turning away any patients. Successfully managing patient flow takes thought and careful planning. It is by far one of the most challenging aspects of practice management. But when done correctly, smoothing the patient schedule will increase the capacity and efficiency of your practice without increasing your overhead.

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