Our Solutions: Registration/Patient Access Integrity

Prior to the delivery of healthcare services, ESI aids in the collection of all information vital to timely claims submission and payment. ESI’s solutions facilitate the accurate authorization of services, validation of coverage, assessment of payment risk, and resource scheduling by improving workflow processes and eliminating the “paper chase.” Process automation using a proprietary scanning and data capture solution and other key technology is inherent to this solution.

To eliminate revenue cycle re-work inpatient financial services, the ESI Registration Quality Assurance solution includes:

• Scheduling
• Pre-registration
• Triage assessment
• Capacity/bed management
• Registration
• Scanning and address verification
• Ability-to-pay assessments
• Patient advocacy for pay-source identification
• Data quality assurance
• Automated eligibility screening
• Insurance Verification
• Financial counseling
• Utilization management
• Pre-authorization and concurrent clinical billing
• Pro-active denials management
• Workflow management
• Cashiers and collection staff

 

esiFrontEndFocus  A unique service and tool set that identifies registration data errors that may cause claims payment delays and/or rejections. esiFrontEndFocus improves the accuracy of information entered via registration areas and promotes data corrections before errors impact your cash flow and other revenue cycle processes. Libraries of standard and customizable edits are utilized to support data integrity. ESI includes this program as part of our overall Registration/Patient Access Integrity Outsourcing Options and it is also available to be purchased as a stand-alone program with multiple support service options.

Benefits:

• Improved claim acceptance rate
• Reduced AR cycle time
• Reduced claim denials for demographic and other controllable data errors
• Detailed error reporting for focused improvement training

Key features:

• Auto Error Detection
• Registrar correction alerts
• BPO Registration Audits on same date of service
• BPO Error Cleansing on same date of service
• Default National Rules Library
• Provider defined edit criteria
• Edit logic employed singularly
• Web-based solution
• Easy to use GUI Interface
• Microsoft SQL Server Backend
• Role-based security
• Customized Administrative
• Address and ID Verifications
• Customer Report generation
• Detailed Problem Resolution
• Department efficiency
• Performance Improvement Indicators for continuing education
• Performance management
• Easy, low-cost implementation

Scanning System:

ESI uses a state-of the art proprietary system that allows for customized forms (of any kind), surveys, admitting orders, paperwork, address verification documents, charge tickets, and medical records to be scanned with the best-of-breed OCR technology. Highest content accuracy available on market with integration options to existing IT systems, databases, and screening options.