From a ripple to a wave: why eligibility matters.
Electronic eligibility verification is already being performed by some healthcare organizations and is in the near future for all hospitals. Several steps will help your organization make this vision a reality: Gain internal management commitment to improving eligibility automation. Approach potential business partners. Talk with your software vendors about their plans to obtain CORE certification. Consider requiring CORE certification as part of your managed care contracting expectations.
Waymack
Pamela M
PM
Phoenix Services Managed Care Consulting, Ltd, Evanston, IL, USA. Pam@PhoenixService.net
Lohse
Gwendolyn
G
D001330:Electronic Data Processing; D004608:Eligibility Determination; D005377:Financial Management, Hospital / Q000379:methods*; D006751:Hospital Information Systems / Q000592:standards*; D008329:Managed Care Programs / Q000191:economics*; D014481:United States