Patient Access Services and Technology

How Price Transparency Impacts Patient Access

Price transparency and patient consumerism are directly impacting the front end of the revenue cycle at health care organizations across the country, with more changes on the way. The good news is that nThrive’s proven technology solutions and revenue cycle management services can help health care organizations meet these challenges, improving patient satisfaction while also helping to increase point-of-service collections, reduce bad debt and decrease AR days.

Hear from Kyle Sherseth in the video below on the growing impact of price transparency in health care and how nThrive can help your hospital or health care organization today!

Use this checklist to assess your readiness for “What’s next”

  • Is your CDM compliant with the January 1st CMS price transparency requirement?
  • Is your overall pricing strategy competitive within your local market?
  • Do your patients receive accurate estimates for the cost of their care?
  • What is the potential impact to cash and patient satisfaction with greater transparency?

How to Prepare for Deeper Price Transparency Requirements

Download our "Prepare for price transparency" guide outlining pro-active steps you can take to meet coming mandates.

Download Price Transparency Guide

Consumerism: Better informed patients are better payers

The ability to create an accurate estimate is integral to consumerism and is becoming a must-have competency with ever-changing, more stringent price transparency requirements. Having an accurate, automated estimator not only helps health care providers maintain compliance, it impacts overall competitiveness. As patients become a savvy health care “shoppers,” they increasingly want to compare pricing to make more informed choices.

For the ultimate solution in price transparency accuracy, look no further than nThrive’s industry-leading CarePricer estimating technology:

  • Creates patient-friendly bill estimates within 95% of the final bill
  • Pulls data from payor contracts, historic charges, and patient benefits to calculate total out-of-pocket costs
  • Pairs with nThrive Contract Management, Charge Description Master and Contract Modeling  technology for a turn-key transparency solution
  • Included as part of nThrive’s Financial Clearance Outsourcing Service.

As with online bill pay, the next step in the consumerism and price transparency journey is self-service estimating. Users of CarePricer have the option to “turn on” CarePricer Payment Estimator, integrating this subscription service into their external website.

nThrive’s external-facing estimator is completely configurable, only showing the level of information health care providers want patients to see.

Prepared for consumerism?

Read how nThrive CarePricer® and nThrive CarePricer Payment Estimator deliver a complete estimating solution.

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How can nThrive help your health care organization today?

Patient access is the first point where your hospital system can counter these market forces. nThrive Patient Access Solutions are capable of maximizing point-of-service collections, improving patient satisfaction and decreasing payor denials. Let our integrated technology foundation and credentialed experts deliver best practices to efficiently manage your entire financial clearance process.

A list showing patient access management automation and financial clearance services

Unlock the potential of Patient Access

nThrive can help you revitalize your front end to improve service – and revenue. Download our solution overview to learn more.

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At nThrive, we can help you address your Patient Access challenges with the right mix of competencies to meet your needs

Chart showing what levels of partnerships that nThrive offers

Patient Access Services

When patients enter a hospital or health care system, one of the first challenges any organization faces is verification of coverage and out-of-pocket expenses such as co-pays and deductibles. At nThrive, our Patient Access Services begin with eligibility enrollment, exploring all available resources while providing upfront education on coverage and financial commitments.

Along the way, we’ll help train your internal resources on industry best practices utilizing the latest technology. And, our onsite Certified Application Counselors are available to help with increased volume from health insurance exchange applicants.

At nThrive, our approach is all about partnering to understand your evolving needs – and those of your patients. When everyone is on the same page, the result is a better patient experience not to mention higher point-of-service (POS) collections, which are proven to be easier to recoup upfront.

nThrive Patient Access Services include:

  • Eligibility and Enrollment
    We’ll explore every option to enroll your patients, identifying programs and ensuring insurance coverage integrity.
  • POS Collections
    Our onsite specialists decrease the collection cycle by determining patient financial responsibility at the point of service.
  • Medical Prior Authorization
    Our concurrent medical necessity and retrospective reviews save valuable time for hospital case managers.
  • Patient Financial Clearance Outsourcing
    nThrive financial clearance outsourcing will reduce your cost to collect while improving margins and patient satisfaction.

Excel at Financial Clearance

Read how expanding front-end capabilities can help close financial clearance gaps.

Read more

Ready to take Patient Access to the next level and stand out among your competitors? Email us at solutions@nThrive.com or call us at (678) 323-2500 to talk with a nThrive health information technology expert.

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