Demographic Entry

Correct demographic data is crucial in revenue cycle management (RCM) because it plays a significant role in preventing denials and ensuring accurate reimbursement for healthcare services. At Finiti we take proactive approach to keep the demographic information updated and accurate by following these steps:

1. Accurate Patient Identification: Correct demographic data, including patient name, date of birth, and address, helps ensure that patients are correctly identified. Incorrect or outdated information can lead to issues like duplicate patient records, which can result in claim denials.
2. Insurance Verification: Demographic data is essential for verifying a patient’s insurance coverage. Accurate information ensures that the patient’s insurance plan is active and that services will be covered. Incorrect data can lead to denials due to coverage issues.
3. Billing Address: Having the correct billing address is critical for sending statements and bills to patients. If bills are sent to the wrong address, patients may not receive them, leading to unpaid bills and eventual denials.
4. Precise Contact Information: Accurate phone numbers and email addresses are essential for communication with patients. This information is vital for appointment reminders, discussing billing questions, and resolving insurance-related issues. Incorrect contact information can lead to missed communications and potential denials.
5. Legal and Compliance Requirements: Accurate demographic data is essential for legal and compliance purposes. Incorrect data can lead to legal issues, especially if it involves patient privacy or fraud-related concerns.

To prevent denials in revenue cycle management, healthcare organizations should prioritize data accuracy by implementing processes for data verification and validation.  Finiti deploys automation tools to ensure the demographic information is regularly updated and validated.