A survey of 800 healthcare providers indicated that 75 percent of them verify eligibility before rendering services to the patients. If 5% of patients are ineligible, there is a loss of $19,800 annually considering 1.5 patients/day in 264 working days at an average of $50 every encounter. One can’t collect money from insurance company for an ineligible patient. Tausch serves to ensure that patient’s eligibility is verified before the appointment and hence all claims sent to the insurance company are clean. Eligibility Verification is a department of Tausch, which functions exclusively for the verification of a patient’s active coverage with the Insurance company, and also to check if patient has an eligible benefit for the procedure which is scheduled in the facility/Doctor’s office, and finally ensuring the patient that is about to walk-in for the procedure is thoroughly eligible for that service and Insurance Company is ready to pay for the same. Eligibility-Verification plays an important role in – Curbing the denial/rejections of the claims.

Bringing in more money to the Doctor’s office.

Helps sending clean claims to the payer.

Reduces extra time and efforts of billing staff.

This department of Tausch is responsible for registering the patients in the system before entering the charges. The demographic details of the patients are received from the hospitals via scanning department. Patient Demographics & charge entry is the first step of the billing process and an error here will prompt errors in the subsequent steps. In some cases this error can be discovered only after the claims reach the insurance carriers. This will result in lost accounts receivables time. Hence utmost care should be taken while entries are being made. The registration details involves the patients name, address, social security number, birth date, sex, rendering & referring doctors name, phone numbers, insurance company details, employer details etc, and once these details are entered into the system the treatment charges can be entered into the particular patients account.

Tausch’s professional Cash posting Service delivers account creation and payment posting service for each individual patient record and effectively lowers the overall cost of Healthcare providers. Recording and managing of cash posting service requires expert and dedicated human skills and knowledge of billing software. Our highly skilled and experienced executives post payments and adjustments received from primary insurance, secondary insurance and patients. Claims that need resubmission are checked for all necessary documents like Medical records, Referral, Authorization etc. and reprocessed to the insurance or forwarded to the AR management team for further processing.