Patient Access & FS

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Complete Patient Access & Financial Solutions Under One Roof

Do you want to streamline your revenue cycle, reduce claim denials, and increase the collection rate together? It will be hard without professional assistance. In order to deliver a better patient experience by simplifying the financial clearance process, healthcare providers are opting for patient access & financial solutions. Here at Saviour Nest Solutions, we offer a complete suite of patient access & financial services under one roof to empower your patient access staff. We assist your in-house team in everything right from eligibility enrollment, claim management, AR management to prior authorization services, with a blend of technology, services, and training. We help minimize medical bill surprises, developing accurate estimates within 90% of the final bill to streamline financials and improve patient experiences. Leverage Saviour Nest Solutions for the following services.

Eligibility and Enrollment Solutions: We ensure the integrity of insurance coverage, payer’s regulations, and identify adequate government and managed-care programs. Based on successful industry practices, we help you identify and choose appropriate available programs for your patients, getting higher and quicker reimbursements for inpatient, outpatient, and emergency department services. We have expertise in Medicaid and disability qualification requirements, to help patients gain easy access and healthcare providers gain appropriate reimbursement faster. Besides electronic eligibility enrollment screening and face-to-face interaction with patients and their families, we develop trust to secure information for complete coverage, and give assurance indicating that alternatives are being explored on the patient’s behalf.

Claim Management & Medical Billing Services: A few areas of the healthcare revenue cycle can boost speed-to-payment such as a strong claim management system. Even small deficiencies can develop relaunches and errors in billing that may cost millions to your practice in the form of denied or delayed payment. Saviour Nest Solutions claim management solutions align to deliver a 98% successful claim submission rate by payors. With a perfect combination of claim management & medical billing, our advanced software produces error-free claims that result in full reimbursement and compliant with medicare and payers, integrate with Patient Account System, and highlight potential complexities across the revenue cycle. Our claim management team has expertise in preventing incorrect medical billing, detect errors, boost cash flow, minimize cost-to-collect, mitigate audit risks, and promote process improvement throughout the whole revenue cycle to bring positive results in a span of very little time. Also, we work on seamless claim integration, claim management reporting, claim status solutions, claim clearinghouse, and payor connections.

Healthcare Contract Management Solutions: While an efficient healthcare contract management system can allow healthcare organizations and individual practitioners to render the best possible care to the patients and reduce operating costs, healthcare providers are outsourcing healthcare contract management more frequently as it can assure adherence to comply with requirements and minimize risk. Our healthcare contract management solutions are based on a web-based revenue management platform that is designed to help healthcare providers anticipate, calculate and get all net revenue that is contractually owned and divided in various scenarios to enable revenue to support contract negotiations. We provide affordable healthcare contract management solutions under patient access & financial services to help providers understand the correct amount of reimbursement owed by the payers, patients, commercial, and government. Other than accurate forecasting of complex medical contract term-based revenue and identification of systematic payer’s issues, we have the ability to negotiate contracts with payers that are more favorable and protect long-term revenue.

Healthcare Collection Services and Recovery Solutions: All hospitals, multi-specialty clinics, and individual practitioners are struggling with revenue cycle leakage and reduced cash flow associated with complex payment regulations, payor’s regulations, and ever-growing patient responsibility for payment. Here at Saviour Nest Solutions, we offer a range of revenue cycle management solutions leveraging advanced industry-leading technologies that focus on poor productivity and boost the cost to collect. Our professional collection service and recovery team help healthcare providers receive reimbursement on dollars effectively and compassionately while improving net revenue and complete patient satisfaction through the services. Our collection services include

  • Credit-balance Services
  • Third-party Liability Services
  • Self-pay Program
  • Bed Debt Primary Program
  • Bed Debt Secondary Program

With collection services, recovery solutions, and professional advisory services, we help your hospital or organization’s staff to manage account receivable processing in a precise manner that gains the highest revenue by rendering automated, customizable business rules through our advanced collection management technology.

Account Receivables Management Services: Gaining a technical edge in healthcare revenue cycle management is just half of the battle. Our healthcare experts at Saviour Nest Solutions fight against the denials that your organization receives and provide assistance to prevent issues to regenerate. Robust reporting at Saviour Nest Solutions empowers healthcare providers to hold government and third-party-owned accountable for the complete and timely reimbursements to ensure successful medical practices. During AR management services, we ensure that receivables are converted and entered into revenue as soon as possible. Our professional team comprises expert medical billers, certified medical coders, and follow-up personnel who act as an extension to your business office to ensure productivity and maximum ROI by leveraging nextGen technologies, successful industry practices, workflow technology, and automation. We also offer early-out and aged AR management services for all payers.

Denial Management Services: Increased denial rate is one of the major causes that affect the revenue cycle and result in a drain on leading healthcare organizations. Therefore, it is a must for every healthcare provider to work on reducing claim denials because it blocks account receivables and ultimately impacts the revenue cycle. Being one of the leading patient access & financial solution providers in the USA, we have a strong and dedicated team for denial management. Its job is to help hospitals, individual practitioners, and healthcare organizations across the country to boost payment recovery by working on the root cause, process improvement, and following successful industry-leading denial management practices. You get a 20% decrease in denials by partnering with Saviour Nest Solutions for Denial Management Services. Also, an 80% recovery rate for all payor highlighted cases, along with a 60% recovery rate from the payor for the referred cases.

Point-of-Services (POS) Collection Services: Increasing high-deductible payor’s regulations have significantly resulted in increased patient financial responsibility, making it more challenging to check patient liability while rendering healthcare facilities. Here at Saviour Nest Solutions, we provide world-class POS collection services, and our onsite plays an essential role in this. Our specialists assist hospitals in improving the collection pattern to work more upfront with the patients to arrange and receive reimbursements while complying with the government rules & regulations. It works better & effectively today when the ever-changing and high-deductible policies have increased the burden on the patient’s shoulder to make payments. Our advisory services enable you to understand how technology can add extra benefits to your medical practice. Also, we help you focus on trying alternative payment methods such as electronic transfers and patient portals.

Prior Authorization Services: Receiving prior authorization from the state for Medicaid in-patient services can be challenging and time-consuming. Our professional and centralized team comprises skilled clinicians, professional nurse auditors and trained medical coders that come in to save valuable time of hospital case managers by conducting essential medical necessity reviews to assist coordinate authorities. Other than this, we have expertise in providing retrospective reviews to appeal denied days or safe authorization on recently covered Medicaid recipients. Prior authorization services result in improved cash flow and reduced claim denial rate. We have healthcare professionals with a proven track record in collecting authorization for emergency medical care. Our experts ensure accurate documentation based on the level of care to justify the overall cost.

If you have any queries, kindly reach us by email or call us to know more.