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Not checking patient eligibility prior to service: Consequences and how Vardhan can help


Checking patient eligibility prior to service is essential for any healthcare organization. It helps to ensure that patients are covered by insurance for the services they receive, and that the organization will be reimbursed for those services. However, many healthcare organizations fail to check patient eligibility prior to service, which can lead to a number of negative consequences.

One of the biggest consequences of not checking patient eligibility is denials. When a patient is not eligible for a service, the insurance company will deny the claim, and the healthcare organization will not be reimbursed for the service. Denials can lead to significant financial losses for healthcare organizations, especially if they are frequent.

Another consequence of not checking patient eligibility is patient dissatisfaction. When patients receive a bill for services that they thought were covered by insurance, they can be very frustrated. This can lead to bad reviews and damage to the healthcare organization's reputation.

Finally, not checking patient eligibility can also lead to compliance issues. Many healthcare regulations require healthcare organizations to verify patient eligibility prior to service. Failure to do so can result in fines and other penalties.

Vardhan Medical Coding Private Limited (VMCPL) is a leading provider of insurance eligibility verification services. VMCPL can help healthcare organizations to avoid the negative consequences of not checking patient eligibility prior to service.

VMCPL's insurance eligibility verification services are accurate, efficient, and affordable. VMCPL's team of experienced professionals can verify patient eligibility with all major insurance companies. VMCPL also offers a variety of services to meet the needs of different healthcare organizations, including:

  • Batch eligibility verification for large numbers of patients

  • Real-time eligibility verification for individual patients

  • Automated eligibility verification that integrates with the healthcare organization's billing system

VMCPL's insurance eligibility verification services can help healthcare organizations to reduce denials, improve patient satisfaction, and ensure compliance with regulations.

Here are some of the benefits of using VMCPL's insurance eligibility verification services:

  • Reduced denials: VMCPL's accurate and efficient eligibility verification services can help healthcare organizations to reduce denials by ensuring that patients are covered for the services they receive.

  • Improved patient satisfaction: VMCPL's services can help healthcare organizations to improve patient satisfaction by ensuring that patients are not billed for services that they thought were covered by insurance.

  • Compliance: VMCPL's services can help healthcare organizations to comply with regulations that require them to verify patient eligibility prior to service.

If you are a healthcare provider who is not currently checking patient eligibility prior to service, I encourage you to consider using VMCPL's services. VMCPL can help you to avoid the negative consequences of not checking patient eligibility, and improve your overall financial performance.**

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