Education Track Sessions

Fixing Intake to Fuel Your Revenue Cycle

For many home infusion providers, the breakdown in reimbursement starts long before the first claim is submitted. Incomplete referrals, missing documentation and manual intake workflows can slow down or even block the revenue cycle. This session examines how improving intake operations, particularly around eligibility verification, prior authorization and clinical documentation, can significantly reduce claim denials, A/R days and compliance risks. Attendees will also explore the financial impact of accurate vs. inaccurate intake and how aligning intake practices with payer-specific requirements, including Medicare guidelines, can drive better outcomes.
For many home infusion providers, the breakdown in reimbursement starts long before the first claim is submitted. Incomplete referrals, missing documentation and manual intake workflows can slow down or even block the revenue cycle. This session examines how improving intake operations, particularly around eligibility verification, prior authorization and clinical documentation, can significantly reduce claim denials, A/R days and compliance risks. Attendees will also explore the financial impact of accurate vs. inaccurate intake and how aligning intake practices with payer-specific requirements, including Medicare guidelines, can drive better outcomes.

Learning Objectives

  • Identify intake inefficiencies that commonly lead to billing delays, denials and compliance issues.
  • Design an integrated intake-to-reimbursement workflow that strengthens communication across clinical, intake, and billing teams.
  • Compare collection rates and denial rates based on intake quality and documentation completeness.
  • Speaker(s)

    Paula Roth  VP, Pharmacy Operations
    Prochant

    Brian Carvelli  Associate Director, Pharmacy Operations
    Prochant

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