Importance of Registration 

RCM Operations Lead: Katelynn Groenewold

First look 

When a customer walks into an urgent care, one of the first things that should be asked from you, is your most current health insurance information. The fastest way to get revenue in the door is for clean claims to go out the door, and that all starts with registration. 

Key factors 

The key factors that we would like to stress the importance of are: 

• The correct insurance is being selected per the address and payor ID listed on the card. Not only can this impact eligibility but also the codes being billed out due to specific fee schedules attached.  
• A real time eligibility check is ran to confirm coverage. If coverage comes back as inactive or subscriber not found, then review the insurance card and review with the patient to ensure that all information listed on the card is exactly as shows in the PM. 
• Ensuring that coordination of benefits is reflecting is showing on the eligibility report. When a patient has a primary and secondary plan, verifying which should be billed out as primary is an important step to avoid later denials. This also might result into notification of another insurance we were not aware of at time of service.  

Conclusion  

If any of these steps have been failed, there is a long list of delays that come with it. Claims can be held up in rejections, denials and could even lead to the patient being billed. Registration can be overwhelming in some cases, but getting the correct information is imperative to a claims success!  

Resource

Experity has a blog that offers tips on registration, including a PDF of a front desk checklist so your staff never forgets a step. Get it here >>