Comprehensive Coverage Discovery Solutions
Eliminating bad debt and discovering unidentified coverage is quick and efficient with outsourced insurance discovery services.
Simplify Reimbursement With Our Insurance Discovery Services
Insurance denials can have a severe negative impact on your practice’s financial stature. Hidden coverage can lead to claim denials and disturb the road to reimbursement. There’s only so much time and energy your medical staff can spare to track down missing insurance when their schedules are already packed with patient care. Outsourced healthcare discovery solutions hand time back to you and reinforce your health system by uncovering and surfacing hidden coverages.
Horizon Healthcare RCM is ready to take the mystery out of patient care. Our skilled billers and coders help you find all billable Medicare, Medicaid, and insurances your patients have either lost, forgotten, or never known about. We apply our extensive knowledge and expertise to identify plans and highlight a simple and efficient path to reimbursement. If you’ve been looking for ways to maximize your cash flow, we’re the team for you.
Ground Your Revenue Cycle Management in Gainful Partnership
Horizon Healthcare RCM understands how fast-paced and vital the health industry can be. We elevate our associates by aligning with their goals and working closely to build a long-lasting and mutually gainful relationship through remarkable results.
We Deliver Patient Discovery at Any Revenue Cycle Phase
Healthcare discovery doesn’t have to be vague or a hassle to introduce to your active revenue cycle. The Horizon Healthcare RCM acts as a natural extension of your in-house team. Our coverage discovery solution is flexible and accessible. We’ve partnered with Experian to deliver a Coverage Discovery Manager to scan your entire accounts receivable library to identify unknown insurance. We support you from pre-service to final scrub, improving your reimbursement strategy and helping you receive immediate payment.
How We Approach Healthcare Discovery
The Horizon Healthcare RCM team uses our relationship with Experian to uncover invaluable patient information and empower you to pursue swift and optimized reimbursement for all care services. We strive to make patient access comprehensive and flexible.
Our patient discovery process includes the following:
- Search best practices, historical information, and assorted proprietary databases
- Weighted confidence scoring to reduce potential false positives
- Detailed scanning to identify unknown coverage from pre-service to final scrub
- Detection parameters to prevent discrepancies and incorrect financial classifications
The Benefits of Healthcare Discovery With Horizon Healthcare RCM
Preventing bad credit and denied claims doesn’t have to be an all-consuming process. With Horizon Healthcare RCM professionals in your corner, you can access our vast medical billing and coding knowledge and resources. We’ve been on the job since 2005, applying every ounce of our expertise to bolster your health system and carry out your coverage discovery process.
We’ve partnered with Experian to deliver industry-leading patient discovery tools. The key features and advantages of our services include:
Proactive Coverage Identification
Quick healthcare discovery helps practices establish a straightforward path to maximized reimbursement. Our coverage discovery solution ensures you’re paid sooner than later and don’t need to struggle with self-pay receivables.
Automated Self-Pay Scrubbing
Our coverage discovery approach involves search best practices and demographic validation to uncover forgotten or missing coverage. We handle the process while you focus on providing excellent health care services.
Optimized Revenue Cycle Management Strategy
Horizon Healthcare RCM scans for insurance coverage throughout the revenue cycle to ensure you catch all possible Medicare, Medicaid, and insurance plans. Our comprehensive approach means you send fewer accounts to collections.
