Stop Revenue Loss Due to Insurance Eligibility Changes
Prevent revenue loss with automated insurance eligibility monitoring. Our system runs daily checks for all active patients, instantly alerting you to coverage changes before they impact billing or disrupt care delivery.
FinaleHealth automatically performs daily eligibility checks for all active patients in the system. This ensures that healthcare providers are always working with the most current insurance information, reducing the risk of denied claims due to outdated coverage data. The daily checks are completely automated, allowing agencies to focus on patient care rather than manually verifying eligibility.
Real-Time Alerts for Eligibility Changes
The system provides real-time alerts whenever there is a change in a patient’s insurance status. For instance, if a patient is enrolled in a new Health Maintenance Organization (HMO), has overlapping episodes of care with another provider, or any other status changes, FinaleHealth will automatically notify the agency. These alerts enable agencies to address issues before they result in claim rejections or billing complications.
Detection of Overlapping Home Health or Hospice Episodes
FinaleHealth’s eligibility system detects potential conflicts, such as overlapping home health or hospice episodes with another provider. This is crucial for ensuring compliance with payer policies and avoiding denials due to duplicate care services. By catching these conflicts early, agencies can take action to resolve them promptly.
Comprehensive Insurance Eligibility Information
FinaleHealth not only checks basic eligibility status but also provides comprehensive details about a patient’s coverage, including Medicare, Medicaid, HMOs, and private/commercial insurance. This ensures that the agency has all the necessary information to submit accurate claims and avoid unnecessary delays in reimbursement.
Proactive Management of Insurance-Related Issues
By automatically alerting agencies to changes in insurance eligibility, FinaleHealth helps organizations proactively manage insurance-related issues. Whether it’s a lapse in coverage or a change in plan details, the system ensures that the agency can adjust care plans or billing processes accordingly, minimizing disruptions in service and revenue.
Unlimited Eligibility Checks
FinaleHealth offers unlimited eligibility checks, allowing agencies to verify coverage as often as needed without worrying about limitations. This flexibility is particularly important in fast-moving environments where patient statuses can change frequently. Whether checking eligibility for new admissions or ongoing patients, this feature ensures consistent and reliable coverage verification.
Real-Time Monitoring
Instant Notificatons
Proactive Intervention
Improved Cash Flow
Enhanced Patient Experience
Streamline Your Home Health Care Operations
Finale Health’s EMR system is designed to make your workflow seamless. From effortless patient management to secure documentation, we empower home health agencies with intuitive tools to save time, improve care, and stay compliant. Explore our features and discover the difference today.
FinaleHealth’s unlimited insurance eligibility checks empower agencies to stay ahead of potential issues, ensuring patients receive the right care while maintaining accurate billing processes. By automating eligibility verification and alerting staff to changes, this feature reduces administrative burdens and improves both care delivery and financial stability. Agencies can focus on providing quality care, confident that their revenue cycle will remain uninterrupted by avoidable insurance-related complications.
