Revenue Cycle Management Solutions

Eligibility & Benefit Management

The most important step in submitting a “CLEAN CLAIM” is Eligibility and Benefits Verification. Salient approach to Eligibility and Benefit Management is to ensure that the patient account is set- up with most updated insurance details so that a clean claim can be generated for adjudication by the insurance. In absence of proper Eligibility Verification and Benefit Verification problems such as delayed payments, rework, decreased patient satisfaction, increased errors, and nonpayment occurs. Salient deploys Staff, Technology, Management and Expertise with the objective of delivering high quality cost effective Eligibility and Benefit verification services.

Eligibility and Benefit Management Services have facilitated our clients in:

• Improving AR cycles (Reducing DRO; Days in Receivable Outstanding)
• Increase cash collections by reducing write offs and denials

Work Flow: Eligibility & Benefit Management

Pre-Certification and Authorization Management:

• Attain and track authorizations request while scheduling the appointment
• Link authorizations to appointment reasons, insurance carrier or patient financial status
• Track authorization’s status: approved, denied, suspended, pending or expired