Patient Demographics Entry Services
Obtaining accurate patient information is a crucial yet often overlooked aspect of the revenue cycle. The demographic entry process not only lays the foundation for the medical record, but it also plays a major role in insurance claims payment. Precise capturing of patient data is critical for submitting clean claims and enables quick processing by Payers. The front-office, whether using paper-based registration procedures or scheduling systems, must ensure the accuracy of patient information. This includes vital details such as eligibility and benefits, prior authorization, and error-free claims filing. Moreover, the accuracy of patient data allows for potential avenues in population health analytics.
Details captured in the Patient Registration / Patient Demographics Entry process
Here at Soho Tech Services, we pride ourselves on our highly trained team of revenue cycle experts. They are dedicated to meticulously verifying all information found on face-sheets. In the event of any discrepancies or missing data, our team proactively reaches out to the healthcare provider or billing company to rectify the issue. We place great emphasis on accuracy and efficiency, as our team diligently enters the validated data into our clients’ practice management software within a speedy 24–48-hour timeframe.
The information we review and update on the practice management system includes the following:
Demographics information:
- Patient’s legal name, age, gender, address, phone numbers
- Patient’s social security number for identification
Healthcare Insurance Information:
• Payer information (name of the Payer, mailing address for claims, and group and policy numbers)
• Details of secondary as well as primary Payers
• Medicaid or Medicare card (if the patient receives federal or state assistance)
Medical Information:
• Allergies if any
• Special requirements (interpreter, assistance for physically disabled people, medications, Ambulance, stretcher access, etc.)
Payment information:
• Name, address, and telephone number of the person who will be responsible for payments
Impact of Inaccurate capture of patient information
Inaccurate capture of the Patient information could result in:
Increased claim denials and delayed payments:
When incorrect information is collected, it can lead to additional work being required. This can occur with both the clearinghouse systems and the payer claims adjudication platforms, potentially resulting in claim rejections. This can create a negative impact, causing delays in payment or losses due to unpaid claims.
Inaccuracies in Population Health Analytics:
Successfully navigating population health analytics relies heavily on accurately identifying the most suitable population segments through thorough analysis of their demographics. This forms the crucial foundation for effective implementation and outcomes.
Entry of Patient's Demographic Information
Capture of Healthcare Insurance Information
Documentation of Medical Information such as allergies, medication, special assistance needs
Review and Capture of Payee Contact Information
Benefits offered by our Patient Demographics team
“Did you know that medical practices lose up to 7% of their yearly revenue due to mistakes in capturing patient demographics? Ensuring accurate entry of patient information not only leads to timely reimbursements but also decreases the amount of time spent in accounts receivable and minimizes the need for redoing work. Our Patient Registration team is highly trained to identify errors in the registration process and works together with you and your practice clients to improve the process.”
Improve Productivity and Accuracy:
Our team members deliver impeccable work, thanks to our guaranteed service levels for accuracy and turnaround time. You can trust in their high degree of quality.
Reduce Claim Denials, Improved Clean Claim Submission:
Better Patient Registration processes result in higher first-pass rates and fewer claim denials, ultimately leading to accelerated cash flow. In other words, enhancing the quality of Patient Registration directly impacts the efficiency and financial success of the practice.
Account Management and Collaboration:
At our company, we have a dedicated team of account managers whose goal is to enhance the efficiency and effectiveness of the Patient Registration process. They do this by closely collaborating with you through real-time portals and providing daily quality updates and turnaround time reports. Our team ensures that each account is properly reconciled, preventing any potential disruptions in the front and backend processes of the revenue cycle chain.
Software proficiency:
Soho Tech Services is proficient in over 20 different practice management systems including Kareo, eClinicalWorks, Advanced MD, EPIC, GE Centricity, Cerner, Athenahealth, All Scripts, Dr. Chrono, NextGen, Practice Fusion, iSalus, NextTech, Heno, Synergy MD, ContaMed, Office Ally, Care Cloud, PrognoCIS, etc.
Medical Coding and Charge Entry:
The Patient Registration Process is often clubbed with Medical Coding and Charge Entry Processes, depending on the software functionality. At times, the process is performed by medical coders directly. At Soho Tech Services, we have a team of proficient medical coders who can complete charge entry across medical specialties and perform patient registration processes effectively.
We also provide complete RCM services. For more details, please visit our page.