ORLANDO, Fla.—September 22, 2020—PatientMatters, a patient access and advocacy solutions provider helping hospitals and health systems offer patients highly-personalized financial solutions, today announced the launch of IntelliRural™, an affordable Pre-Access technology solution designed to address the patient access barriers of rural hospitals.
Delivering healthcare in a rural setting presents unique challenges. Geographic isolation, economic limitations, and shrinking resources intensify the rural healthcare barriers that lead to a lack of access to care. PatientMatters IntelliRural™ technology addresses these challenges upfront by simplifying registration and financial processes to enhance the patient financial experience – all at an affordable price.
“PatientMatters identifies and sympathizes with the plight of rural hospitals serving higher-risk populations while struggling with limited funding,” said David Shelton, CEO of PatientMatters. “From its beginnings over 30 years ago, PatientMatters has been dedicated to helping self-pay patients obtain financial assistance from government and payer sources. IntelliRural further demonstrates that commitment by addressing rural healthcare financial barriers via upfront patient validation and by driving bill estimate accuracy to speed collections.”
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The IntelliRural rules-based technology identifies in-process coverage with demographic certainty. Through its embedded Registration Quality Assurance (RQA) alert system, the hospital staff is notified of registration errors needing correction before discharge and billing. Additionally, its multiple source-verification capabilities automatically validate current and billable patient and guarantor status in the hospital information system (HIS), flagging patient demographic data discrepancies.
Supporting IntelliRural tools include Online Patient Estimation (OPE) and prior authorization management. The OPE tool provides online self-service price estimation to patients via the hospital website. The Online Patient Estimation tool meets the hospital price transparency requirements set by the Centers for Medicare & Medicaid Services (CMS) Price Transparency Final Rule that go into effect January 1, 2021. The tool supports the required 300 “shoppable” services and machine-readable file format that hospitals are required to make public. The Prior Authorization Management tool delivers real-time identification of accounts that require prior authorization to prevent and minimize denials due to inaccurate or missed authorization. Its automation includes determination, status check, and completion.