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.

Key Features and Benefits:

Automated Daily Eligibility Checks

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providers are always working with the most current insurance information, reducing the risk of denied claims due to outdated coverage data.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.

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.

Referral Review and Intake

A cutting-edge solution designed to simplify care planning, improve accuracy, and ensure compliance.

E-Sign, Admission and Consent Forms

Enable home health and hospice providers to digitize the tedious process of managing consent documentation.

Patient Centered Care Planning with AI Assist

Streamlines patient documentation by scanning OASIS assessments to generate patient narratives and summaries, then identifying relevant problems, goals, and interventions from the care plan library.

Enhance Revenue Cycle Management

Designed to simplify and streamline the complex process of medical billing for home health and hospice providers.

Calendar Scheduling Feature

Plan, organize, and track patient visits with ease to ensure timely care and maximize efficiency for your team.

Integrated Fax

Plan, organize, and track patient visits with ease to ensure timely care and maximize efficiency for your team.

Nightly Insurance Eligibility and PECOS Updates

Automate nightly checks for patients’ insurance eligibility, ensuring accurate and up-to-date coverage details.

Integrated Care Coordination

Connect with other members of your patient’s care team instantly through secure messaging.

Mobile Application Point of Care Access

Point-of-Care Documentation, Simplified.

Proactive Management of Insurance-Related Issues

Enhancing Care and Financial Stability

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.

Features

All in One Platform:

Stop Revenue Loss Due to Insurance Eligibility Changes

Key Features and Benefits:

Automated Daily Eligibility Checks

Real-Time Alerts for Eligibility Changes

Detection of Overlapping Home Health or Hospice Episodes

Comprehensive Insurance Eligibility Information

Proactive Management of Insurance-Related Issues

Unlimited Eligibility Checks

Streamline Your Home Health Care Operations

Referral Review and Intake

E-Sign, Admission and Consent Forms

Patient Centered Care Planning with AI Assist

Enhance Revenue Cycle Management

Calendar Scheduling Feature

Integrated Fax

Nightly Insurance Eligibility and PECOS Updates

Integrated Care Coordination

Mobile Application Point of Care Access

Proactive Management of Insurance-Related Issues

Enhancing Care and Financial Stability

Ready to learn how we help make a difference?

OFFICIAL INFORMATION

Features

All in One Platform:

Stop Revenue Loss Due to Insurance Eligibility Changes

Key Features and Benefits:

Automated Daily Eligibility Checks

Real-Time Alerts for Eligibility Changes

Detection of Overlapping Home Health or Hospice Episodes

Comprehensive Insurance Eligibility Information

Proactive Management of Insurance-Related Issues

Unlimited Eligibility Checks

Streamline Your Home Health Care Operations

Referral Review and Intake

E-Sign, Admission and Consent Forms

Patient Centered Care Planning with AI Assist

Enhance Revenue Cycle Management

Calendar Scheduling Feature

Integrated Fax

Nightly Insurance Eligibility and PECOS Updates

Integrated Care Coordination

Mobile Application Point of Care Access

Proactive Management of Insurance-Related Issues

Enhancing Care and Financial Stability

Ready to learn how we help make a difference?

OFFICIAL INFORMATION

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