An Innovative Hospital Support SolutionWith Clear Direction

ChallengeMany hospitals lack standard guidelines for the advanced registration and insurance verification process for scheduled patients. Where guidelines may exist, they are often not enforced leading to incorrect claim submissions resulting in denials. In fact, 50% of all claim denials are demonstrated to be the direct result of registration errors.

Higher insurance deductibles and co-pays increase the hospital’s financial risk. An average hospital’s up-front collection of deductibles and co-pays is currently at 3%. Additionally, staff may not employ the most effective methods of communicating the patient’s financial responsibility prior to the point of service.

Simplifying and improving the patient experience — making it more efficient and pleasant — continues to be a struggle for most hospitals.

Patient Access RedefinedResponsibilities Then NowInformation Capture 8 8Insurance Verification 8Check Medical Necessity & ABN Notification 8ID & Collection of Co-payment/Deductible 8MSP Forms 8 8Error Tracking/Edit Software 8Reporting 8

The Hurdles• Only 15% insurance verified prior to service • 3% Co-pays/Deductibles collected prior to service • Deficient information gathered at registration• 50% of all denied claims due to patient access errors• Growing risk related to self pay AR

And what really caught my attention, were estimates that 50 percent to 90 percent of claim denials could be prevented by securing accurate patient information.

HFMA Western Pennsylvania ”“

“Patient access functions have long been the revenue cycle’s Achilles heel — with poor data collection providing a classic example of “garbage in” producing “garbage out”. 

Access Management Journal”

H-Pass SolutionH-Pass (Hospital Patient Access Support Services) is an innovative hospital support solution with:

• An advanced registration process including data capture.• Insurance verification.• Front end collection of patient financial responsibilities.

Seamlessly integrated with the existing hospital technical infrastructure, H-Pass:• Enhances the patient experience• Improves data quality• Increases cash flow• Decreases associated denied claims & bad debt

H-Pass is complete before the patient enters the hospital

Ease of Connectivity• No interface• No staff training• No additional software• No added maintenance

H-Pass Flow

Advantages of H-Pass• Simplifies and optimizes patient through-put – 92% of non-urgent patients are registered and verified in advance• Increases accuracy of data capture – Related denied claims and bad debt are reduced• Increases cash flow – Speed up front end collections• Enhances patient experience – 17 minute patient registration wait time is reduced to 3 minutes

MD Office orPatient Schedules

Services

H-PassProcesses Patientsfrom Department

Schedule

H-PassBegins Advanced

RegistrationProcess

Patient Call or UsesInternet to Advance

Register

Insurance isVerified Via On-lineSystem or Phone

Call. Out-of-PocketPatient Responsibility

Identified

Patient Called forInformation and

Collection ofOut-of-Pocket

Patient Responsibility

Patient Satisfaction

H-Pass Impact• Increase accuracy of data capture• Optimize patient through-put • Increase cash flow• Reduce claim denials• Decrease associated bad debt• Improve patient experience

Everything went smoothly, I hardly had any wait at the hospital.”“It was one less thing to worry about on a stressful day.”“It made things quick and painless when I got to the hospital.”“It’s great, you don’t have to register again, I told them to do this years ago!”“

The Opportunity Industry H-PassInsurance Co-Pays Collected Prior to Services 3% 50%

% of Denied Claims due to Patient Access Errors 50% 10%

% of Bad Debt due to Registration Errors 25% 12%

Average Patient Wait Time prior to Registration 17 min. 3 min.

H-Pass Value PropositionAnnual Expense*

300 Bed Hospital*** H-Pass H-Pass

BenefitSalaries** $328,923 $0 $328,923Cash Collected Prior to Service

$ 65,530 (3%)

$1,092,175(50%) $1,026,645

Patient Access Claim Denials

$6,000,000(1%)

$1,200,000(0.2%) $4,800,000

Patient Access Related Bad Debt

$6,000,000(1%)

$3,000,000(0.5%) $3,000,000

H-Pass Total Benefit $9,155,568 * Based upon national avg. of 87,374 transactions ** Including benefits, Office Overhead, workstations, tel., postage, etc. *** 600 million annual gross revenue

What is the H-Pass value at your hospital? 412-224-4836 or sales@h-pass.com

Visit us at h-pass.com

H-Pass, Inc.700 River Avenue, Suite 541

Pittsburgh, PA 15212

Phone: 412-224-4836 | Fax: 412-322-8100 | h-pass.com