Patient Access Services and Technology

Transform Patient Access

Health care systems are confronted with a number of market forces that are contributing to escalated debt and affecting the entire revenue cycle. From an increase in denials tied to changing regulatory and payor requirements to increasing patient liability and patients that are not prepared to pay, the impact is staggering. Compounding these issues is an overstressed patient access staff that must rework data held in disparate technology, with the cumulative impact resulting in a precarious financial imbalance in the function of today's typical patient access department. 

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.

Here are just some of the benefits of nThrive's front-end solutions:

  • Streamline staff workflow with automated tracking, prioritization and assignment of all financial clearance activities
  • Reduce documentation errors contributing to medical necessity denials through nThrive’s payor medical necessity policies, National and Local Coverage Determinations and CCI edits
  • Lower denials and prevent fraud through nThrive’s patient address and ID validation
  • Check eligibility in real-time or batch for more than 800 payors
  • Improve pre- / point-of-service patient collections through intelligent workflows powered by propensity-to-pay software, patient bill estimation and online payment tools
  • Create a transparent culture and improve patient satisfaction with bill estimation software — within 90 percent accuracy of total actual bill
  • Address your regulatory questions with the nThrive clinical expert coaching service, designed to guide you through complex changes
  • Audit registration accuracy with nThrive’s 10,000 rules that prevent 50 percent of potential denials
  • Go-live with nThrive financial clearance outsourced services within 30 to 90 days
Patient Access Software

POS Collections Technology Case Study

Learn how POS collections improved 112 percent with nThrive’s patient bill estimation

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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.
Patient Financial Clearance

When to Outsource Financial Clearance

Are you looking for ways to improve margins, lower risk, increase POS collections and improve patient experience? Learn nine ways to secure the best outsourcing partner.

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