Since the implementation of AHIQA our QA percentage has been maintained to meet our standard of 97% accuracy of all registrations. Prior to AHIQA or accuracy rate was at 90%, we have had a 7% increase.
AHIQA has allowed us to move the QA process from the Verification Department to the front end. This has allowed Verifications to dedicate 3 FTE’s to the outpatient verification and patient financial obligation process, which has increased up-front collections and decreased denials due to lack of precertification.
The Verification Department is now working 70% more outpatient accounts prior to services being rendered. This Department is now also responsible for adding insurance information that is obtained after services are rendered which allows for more accuracy on the back end. They handle approximately 400 accounts a week through this process.
With the Verification Department handling the insurance referrals this has allowed Customer Service to focus on true patient mail rather than insurance related mail.