Reduce the number of denied claims and streamline your Medicare eligibility process. ABILITY | EASE automatically checks to verify your patientsâ€™ eligibility status and Medicare as a Secondary Payer. No more wandering through DDE! Your entire eligibility verification and re-verification process is made simple with fast, easy-to-use access to information.
ABILITY | EASEÂ provides the comprehensive information you need to manage workflow and revenue, with increased understanding of receivables at risk. Automated daily reports, accessible from your desktop, keep you on top of Medicare dollars, claims status, and eligibility issues. With ABILITY | EASE, your organization will work smarter, not harder.
ISSUE: It takes a huge amount of time to adequately track changes in a patientâ€™s benefits in DDE/FISS â€¦
Our staff doesnâ€™t have time to adequately track changes in a patientâ€™s benefits in DDE/FISS. Manual eligibility verification is really time-consuming â€“ all those DDE/FISS screens! â€“ and easy to overlook. If we donâ€™t detect changes in eligibility, that can cause delayed or even lost revenue.Â Â
ABILITY ANSWER: With the ABILITY | EASE â€œMove Catcherâ€ feature, you receive a daily report with eligibility status updated weekly, without having to rely on DDE/FISS screens. The report compiles important elements from DDE/FISS, and also includes alerts and warnings about any changes in a Medicare patientâ€™s eligibility status. No more need for manual eligibility verification using multiple DDE/FISS screens with every patient.
ISSUE: Our biller has to manually search for and identify claims problems â€¦
Our biller has to manually search for and identify claims problems. It also takes a lot of effort to correct them â€“ she walked me through the process and itâ€™s a nightmare! All of that can cause delays in getting our reimbursement, because claims needing to be fixed are missed or arenâ€™t identified right away.Â
ABILITY ANSWER: With ABILITY | EASE billing staff gets automated alerts, reports, and inquiries for ALL claims submitted to Medicare, sent right to their desktops. Theyâ€™ll see whether the claims are paid, suspended, RTPâ€™d, rejected, denied, or need modifications. Pop-ups on the reports explain the problem in detail so the corrective action is clearly identified â€“ no need to refer to external resources.
The biller then uses a simple â€œclick to fixâ€ option from a â€œWindows-styleâ€ interface to correct and resubmit claims â€“ all without having to access the multiple, complex â€œgreen screensâ€ of the DDE/FISS system.
ISSUE: We canâ€™t seem to properly verify eligibility at intake timeâ€¦
We canâ€™t seem to properly verify eligibility at intake. Sometimes it doesnâ€™t get done completely before admission, because of workload and the complexity of the verification process.
ABILITY ANSWER: With ABILITY | EASE your intake staff sees a single, user-friendly, comprehensive view of the patientâ€™s eligibility (including Medicare Supplement Plans, benefit periods, and more). No more navigating multiple DDE/FISS â€œgreen screens.â€ They get a customizable view of all the pertinent information needed to verify eligibility at the time of admission.
ISSUE: Iâ€™d love to get a better handle on cash flow. . .
Iâ€™d love to get a better handle on reimbursement cash flow projection for our Medicare claims, but it seems almost impossible with our current setup.
ABILITY ANSWER: With ABILITY | EASE, you have access to Â comprehensive Medicare claim reimbursement information daily, with reports that provide a view of all claims paid as well as reimbursements expected (for up to 14 days in the future) and claims in process. You can eliminate the limited visibility regarding Medicare reimbursement and the risk of not knowing your cash flow position.
ISSUE: Itâ€™s a huge headache when we need to add extra staff or train a new hire. . .
Itâ€™s a huge headache when we need to add extra staff at busy times of the year or even when we hire someone to help out with billing. Due to the complexity of the DDE/FISS billing environment, bringing on new staff who arenâ€™t already trained in Medicare billing, navigation, and jargon is expensive and lengthy.Â
ABILITY ANSWER: ABILITY | EASE is an easy-to-use, comprehensive view of Medicare patient eligibility and claims status information that does not require complex â€œgreen screensâ€ navigation from within the DDE/FISS system. The user-friendly workflow minimizes manual processes and reports, even if your facility has multiple locations. You can build efficiencies, increase billing capacity, and potentially delay hiring additional staff even when your Medicare patient population is growing.
ISSUE: Overtime is a killer for us . . .
I wish there were some magical way to get more hours in the day for our staff. I donâ€™t see how we can handle any more Medicare patients Overtime is a killer for us â€“ thereâ€™s so much involved in these processes that staff will work evenings and weekends to catch up with their other tasks that also need to get done.Â
ABILITY ANSWER: ABILITY | EASE uses an automated â€œsoftware robotâ€ to delve into the CMS (Medicare) system every morning, pull down all pertinent information for patients and outstanding claims, and present it in a comprehensive format with one or two screens or online reports to your staff. Using the easy-to-use screens and reports, staff can then quickly diagnose eligibility information, find billing errors, perform drill-down searches, and get critical information about patients with minimal manual processes. Our customers report that using ABILITY | EASE cuts back the time they spend on Medicare billing as much as 40%.