The medical billing process usually starts at the initial point of contact between a patient and a healthcare organization. During this interaction, front-end staff must collect patient information that will lay the foundation for billing and collecting. From a revenue cycle perspective, getting the most accurate information upfront starts with patient scheduling and patient registration, Which provides the groundwork by which claims can be billed and collected in the most efficient and effective manner possible.

Also While ensuring a patient’s demographic information is correctly put into the provider’s billing system is essential, it is also key that front-end staff also verify health insurance status and coverage.

Not asking relevant & the right questions regarding eligibility to the patients and insurance companies will cause an increase in denials and rejections. Our study shows eligibility issues are the top reasons for claim rejections, and about 8 percent of claims submitted are rejected because of eligibility problems.

Our study indicates that 29% of claims on average were received by healthcare providers more than 30 days after the services were provided & 15% of claims were received from providers more than 60 days after the services are provided.