Patient Access Services

Pre-Registration/ Registration
Apollo Health Street has developed Patient Access Partnership, a combination of technology solutions and services, to address the inherent challenges present in most physician offices around the country. The Patient Access Partnership with Apollo will ensure complete review all of your patient records and correct any errors in patient data — addresses, insurance coverage plan selection, and other rules-based decisions that impact your practice’s cash flow.

Key features and benefits of our partnership:

• Error identification to ensure clean claims are sent the first time
• Accelerated receipt of outstanding revenue that is delayed due to registration errors and pre-authorization failures
• Cost to collect reduction, since errors are corrected prior to billing, rather than through labor-intensive review of EOBs, correspondence, and telephone inquiries
• Weekly employee scorecards to provide staff accountability and training

Insurance Verification/Authorization
Timely and comprehensive insurance verification and authorization is the single most critical component of the patient access process. Rather than relying on rule-based checking (i.e. checking eligibility over six months) or simply copying a patient’s insurance card, Apollo uses automated verification tools and global resources to effectively manage the entire insurance verification inflow.

Key features and benefits of our partnership include:

• Verification of virtually all members in the account population prior to date of service (for scheduled accounts) and on the same day as service (for emergency or urgent services)
  
• Integrated feedback and insurance verification follow-up processes
  
• Significant reductions in rejections and denials
  
• Lower bad debt write-offs

Financial Counseling/Medicaid Eligibility Services
Our Financial Counseling/Medicaid Eligibility Services manage all accounts that can be reimbursed through federal/state medical assistance programs to individuals or families. Our healthcare experts are specifically trained to interact with patients from the first point of contact. We work to identify and qualify patients for government assistance who might normally be overlooked by a hospital's business office.

Key features and benefits of our partnership include:

• On-site financial counselors, stationed at the providers’ office, who initiate eligibility screenings via bedsides or at point of service via walk-in interviews.
• In-house eligibility coordinators, stationed at our main offices, who are comprehensively trained financial counselors specializing in making final determinations of eligibility for government assistance programs. These individuals obtain adequate information and acceptable documentation from applicants to complete the full application process. Their responsibilities also include establishing and maintaining efficient communication with representatives from the local and state agencies.
• Field services representatives, stationed regionally around the country, visit patients in their homes. When appropriate, an eligibility coordinator will request a field visit to secure documentation. These visits are requested as scheduled or non-scheduled appointments for an interview.
• In many cases, face-to-face contact and accessibility to gain patients’ trust and cooperation.