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Patient Access Services

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Overview

Patient Access Services encompass critical processes in healthcare, including Patient Scheduling, Patient Registration, Eligibility and Benefits Verification, and Prior Authorizations and Referrals. These services simplify administrative tasks, ensure accurate data collection, and enhance the patient experience. Efficient Patient Access Services are vital for operational effectiveness, resource management, and revenue cycle success.

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Patient Scheduling

Patient Scheduling offers efficient management of healthcare appointments, optimizing resources and reducing wait times. simplifying the scheduling system boosts patient satisfaction and maximizes physicians' time.

Services:

  • Phone calls
  • Mobile Apps
  • In-Person visits
  • Online patient portals

Key Features:

  • Flexible Pricing
  • Seasoned Medical billers
  • Swift transition
  • Exceptional Quality
  • Quick turnaround

Patient Types:

  • Inpatient
  • Outpatient
  • Ambulatory Surgical Center
  • Emergency
  • Urgent care
  • Ancillary

Components:

  • Physician
  • Facility

Patient Registration

Patient Registration is the first step in the medical billing process, involving the patient data collection of accurate personal and insurance details. Proper registration ensures seamless billing, minimizing claim denials, and reducing delays in payment.

Services:

  • Patient demographics
  • Insurance details
  • Medical history
  • Emergency contacts

Key Features:

  • Flexible Pricing
  • Seasoned Medical billers
  • Swift transition
  • Exceptional Quality
  • Quick turnaround

Patient Types:

  • Inpatient
  • Outpatient
  • Ambulatory Surgical Center
  • Emergency
  • Urgent care
  • Ancillary

Components:

  • Physician
  • Facility

Eligibility and Benefits Verification

Eligibility and Benefits Verification involves confirming a patient's health insurance coverage and benefits, ensuring that services provided are covered and minimizing claim rejections. Accurate verification leads to timely payment collections and reduces billing errors.

Services:

  • 270/271
  • Eligibility
  • Coverage limits
  • Out of pocket expenses

Key Features:

  • Flexible Pricing
  • Seasoned Medical billers
  • Swift transition
  • Exceptional Quality
  • Quick turnaround
  • Real time Eligibility
  • Payer portals
  • Insurance calls

Patient Types:

  • Inpatient
  • Outpatient
  • Ambulatory Surgical Center
  • Emergency
  • Urgent care
  • Ancillary

Components:

  • Physician
  • Facility

Prior Authorizations and Referrals

Prior Authorizations and Referrals are essential for expensive procedures or medically necessary medications and are covered by insurance. By obtaining pre-authorization, healthcare providers avoid costly claim denials and reduce administrative burdens.

Services:

  • 278
  • Pre-certification
  • Peer to Peer discussion
  • Prior approvals

Key Features:

  • Flexible Pricing
  • Seasoned Medical billers
  • Swift transition
  • Exceptional Quality
  • Quick turnaround
  • Fax
  • Payer portals

Patient Types:

  • Inpatient
  • Outpatient
  • Ambulatory Surgical Center
  • Emergency
  • Urgent care
  • Ancillary

Components:

  • Physician
  • Facility

Patient Access Services - Why Pena4?

Businesses and healthcare facilities can experience our Patient Access Services for time-saving, accurate patient intake, and front-end processes. With a focus on accuracy and compliance, Pena4 helps facilities optimize workflows, ensuring timely, and efficient patient access while maximizing revenue cycle performance.

Related Case Studies

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Patient Registration

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case-study

Denial Management

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case-study

Eligibility and Benefits Verification

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Experience seamless Patient Access Services

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This is one of very few vendor relationships I have experienced in my 35 years as an HIM where I truly feel like we are partners with the same goal in mind-quality health information.

Cindy Penner

The Ottawa Hospital

I have had experience with other offshore coding services, and the quality from the Pena4 coders is excellent.

Craig Chase

Catholic Health Services

Very responsive team, expert knowledge, and easy to work with.

John Samuels

Better Health Advisors

Always on point with Turn Around Time requirements.

Lordy Josama

One Brooklyn Health System

Great long-term relationship, able and willing to meet our needs. Great customer service, great support, great outcomes!

Ray Cosner

Mt. Sinai Health System

It has been such a pleasure to work with Pena4 and their team. They have highly educated coders and I do not need to be involved in their internal processes, they know how to get the job done and with great quality.

Bonnie DiAntonio

RWJ Barnabas South

Pena4 continues to deliver high-quality services to our Team. We look forward to maintaining our strong partnership with the Pena4 Team.

Jade Johnson

Mount Sinai Hospital MSH/MSQ

Thank the management team, Arnab, Navin, Caroline, and the entire support team for their continued support and dedication to BronxCare Health Systems.

Valerie Oselmo

BronxCare Health System

Pena4 staff was helpful and accommodating to our professor and students' needs.

Dasantila Sherifi

Rutgers University

Implementation is a 2-way street and Pena4 keeps up its end. They provide great service with involved and attentive operations leaders.

Craig Chase

Catholic Health Services

Love the Team! Deb, Bernie, and Shelley are extremely knowledgeable, friendly, and especially pleasant to work with!

Sonia Shiels

Joseph Brant Hospital

We hired HIMonCall to assist with coding to meet our mandated fiscal year deadlines. We were able to meet this deadline successfully with the help of these contract coders and the work was delivered on time, as promised.

Monique Rasmussen

Providence Health Care