Reduce Administrative Burdens with Efficient Coordination of Benefits

With healthcare administrative costs accounting for over 40% of all healthcare expenses in the United States, incomplete patient insurance information can increase stress on an already complex care cycle. The healthcare revenue cycle is an intricate and balanced process that must run smoothly from start to finish for healthcare organizations to operate at their fullest potential.

As one of the first steps in the revenue cycle, it is essential to have an efficient coordination of benefits process to avoid duplicative payments and inaccurate billing statements. If patients have more than one form of coverage, overlaps and overpayments can occur if not monitored closely. In the case of an overpayment, staff must manually intervene and correct the administrative errors before moving forward with patient care.  

With hundreds of insurance companies in the United States, detecting Other Health Insurance (OHI) information and maintaining accurate databases can be a huge administrative undertaking for healthcare organizations. The benefits of outsourcing OHI and validation service support include having a more efficient process to safeguard funds, improve quality, and reduce customer service issues, costly rework, and reduce payment recovery challenges.

At Signature Performance, we have the expertise and practical experience to deliver and execute an efficient coordination of benefits strategy. By continually adapting and improving our processes, our team can keep an accurate reading on interface requirements, enhance the quality of claims, reduce waste, and address industry market changes.

---

Utilizing a Reliable Methodology

When it comes to coordination of benefits, you want assurance that you are working with the latest information. At Signature, we built a real-time discovery engine that includes defined and reliable connectivity to the nation's top payer databases. Our optimized solution has produced more than two times the policies of other marketplace vendors. Being able to identify the highest volume of billable OHI policies ensures accurate and complete third-party insurance information.

Embedded Validation Process

Accuracy is key when it comes to an efficient coordination of benefits process. Through our methodology, only validated data resulting in a billable policy is identified. Our system enables increased transparency, false positive prevention, and match verification, validating insurance policy information to ensure claims are billed and/or paid correctly the first time. With multiple layers of validation embedded in our processes, we ensure the policy discovered is for the correct patient. Our discovery process optimizes the number of validated insurance policies, ultimately allowing our clients to coordinate benefits effectively and stay within compliance requirements.

Developing a Tailored Solution

At Signature Performance, we provide proven systems and customized configurations to break down barriers and produce near-perfect results every time. We improve not only our clients' business but also the entire healthcare ecosystem by discovering better ways to leverage technology, talented people, and industry-leading processes to streamline the healthcare revenue cycle. Our proven eOHI approach was built on industry best practices and security standards to help healthcare organizations maximize their financial performance.

---

To learn more about how Signature Performance can optimize your organization's revenue cycle, contact our team today!