Emdeon Patient Responsibility Estimator^®

As patient out-of-pocket expenditures continue to rise, healthcare providers are increasingly faced with the threat of uncollectable bad debt. Time and money spent balance-billing to collect patients' payments at 30, 60, 90 days or more, restrict critical cash flow. To stay competitive, providers need transparency in the price of healthcare, particularly, patient financial responsibility in consumer-directed and other high-deductible health plans.

The Emdeon Patient Responsibility Estimator^® is an innovative tool that enables providers to increase revenue collection, decrease A/R days and reduce patient bad debt by delivering accurate and timely information about patient collectible amounts. This real-time solution gives quick access to estimates of patients' out-of-pocket expenses so providers can inform patients of expected costs and collect or hold funds during scheduling, registration, at time-of-service or at check-out.

 

A unique solution for providers and the entire healthcare industry, the Emdeon Patient Responsibility Estimator^® utilizes a combination of actual paid claim data, provider contract rates and current patient-specific benefit and accumulator information to accurately estimate patients' financial responsibility.

Features

• Generates estimates of patients' out-of-pocket costs
• Calculates charges for all service types and locations
• Creates printable, easy-to-understand estimates that can be branded by facility and include patient signatory line
• Allows the selection of diagnoses codes easily with search criteria set up by CPT DRG, HCPC, ICD-9 and even common language descriptors
• Enables the upload and storage of fee schedules, charge master, contract rates and related payer discounts

Benefits

• Improve patient satisfaction due to price transparency
• Increase up front patient collections to accelerate the payment cycle
• Reduce bad debt
• Decrease A/R days
• Increase workflow efficiency