The business side of healthcare can be a very long and confusing process for most healthcare providers. That’s where Hive steps in, we worry about everything that happens before the claim gets filed. These steps are critical to reducing denials, improving cash flow, and giving providers more time to focus on patient care:
- Insurance eligibility verification
- Verifying coverage before the visit ensures patients are eligible for services, reducing claim rejections.
- With HIVE’s front-end RCM services, this step is automated and accurate, that means no more guesswork or delays.
- Verifying coverage before the visit ensures patients are eligible for services, reducing claim rejections.
- Prior authorizations
- Certain procedures require payer approval in advance. Missing this can result in denied claims.
- HIVE handles this efficiently, helping your clinic avoid hold ups and ensure compliance from the start.
- Certain procedures require payer approval in advance. Missing this can result in denied claims.
- Accurate patient intake and data collection
- Errors in demographics or insurance details can cause major billing issues.
- HIVE streamlines intake workflows to capture clean, claim-ready data from day one.
- Errors in demographics or insurance details can cause major billing issues.
- Copay and deductible estimation
- Estimating patient responsibility upfront improves transparency and collection rates.
- HIVE’s systems help you clearly communicate costs to patients which boosts up-front payments and reducing bad debt.
- Estimating patient responsibility upfront improves transparency and collection rates.
- Proper coding at the time of service
- Inaccurate codes can delay payments and trigger audits.
- HIVE works with your team or coders to ensure claims are properly coded before they’re ever even submitted.
- Inaccurate codes can delay payments and trigger audits.
- Front-end charge entry
- Capturing charges accurately and instantaneously prevents missed revenue.
- HIVE ensures charge entry is timely, correct, and aligned with payer guidelines.
- Capturing charges accurately and instantaneously prevents missed revenue.
- Real-time issue flagging to prevent denials
- Small errors like a misspelled name or mismatched date of birth can result in rejections.
- HIVE’s real-time checks catch issues before they become problems, keeping your revenue flowing.
- Small errors like a misspelled name or mismatched date of birth can result in rejections.
- Seamless handoffs between front desk and billing teams
- A lack of coordination can lead to dropped claims or confusion.
- HIVE bridges the gap between clinical and financial operations, enabling a smooth, integrated workflow.
- A lack of coordination can lead to dropped claims or confusion.
So whether you’re a clinic, therapy group, or even a small practice, we help you stay profitable, compliant, and most importantly focused on what you do best.
Check out what services and packages we offer here.
