Full-service revenue cycle and patient contact center solutions focused on maximizing operating margin.
Leverage Global Healthcare Resource for clinical documentation improvement
Accurate clinical documentation is the backbone of a healthy revenue cycle. At Global, our Clinical Documentation Improvement (CDI) experts ensure every claim is backed by complete, precise, and compliant records before submission. By identifying and resolving documentation gaps upfront, we help providers minimize denials, accelerate reimbursements, and protect revenue integrity across all specialties and payers.
Global Healthcare Resource brings over 25 years of experience to your organization. As your clinical documentation improvement team, we will complete:
Tenured senior leadership averaging 20+ years drives operational consistency and strong team alignment.
Structured internal program focusing on CDI scope training reinforces documentation integrity and denial prevention.
Scalable offshore CDI teams enhance financial performance through cost efficiency and accuracy.
At Global Healthcare Resource, we only succeed when you do. Let our specialists optimize your documentation protocols and ensure you continue to meet every patient’s unique needs. Global has vast experience within nearly every specialty making us experts in hospital, behavioral health, OB/GYN, physical therapy, and many other complex healthcare specialties. Schedule your consultation today to get started.
Patient eligibility verification is the process of confirming a patient’s insurance coverage and benefits before providing medical services. This crucial step ensures that healthcare providers receive reimbursement for services rendered. It involves checking the patient’s insurance status, coverage limits, and any applicable co-pays or deductibles. By conducting eligibility verification, healthcare organizations can minimize claim denials and streamline the billing process.
Prior authorization is necessary in patient eligibility verification to ensure that specific medical services or procedures are covered by the patient’s insurance plan. This process requires healthcare providers to obtain approval from the insurance company before delivering certain treatments, medications, or tests. Prior authorization helps control healthcare costs, prevents unnecessary procedures, and ensures that patients receive appropriate care based on their insurance benefits.
Global Healthcare Resource ensures HIPAA compliance by implementing strict policies and procedures to protect patient information. This includes conducting regular training for staff on HIPAA regulations, utilizing secure electronic systems for data management, and ensuring that all communications involving patient data are encrypted. Additionally, Global Healthcare Resource performs regular audits and risk assessments to identify and mitigate potential vulnerabilities in their data handling processes.
Global Healthcare Resource verifies a wide range of insurance types, including private health insurance, government programs such as Medicare and Medicaid, and managed care plans. They work with various insurance providers to ensure comprehensive eligibility verification for patients, allowing healthcare organizations to efficiently manage their billing processes and reduce claim denials.
The eligibility verification process typically takes anywhere from a few minutes to a couple of days, depending on the complexity of the patient’s insurance plan and the efficiency of the verification system used. Automated systems can expedite the process, allowing healthcare providers to receive real-time updates on patient eligibility. However, manual verifications may take longer due to the need for additional documentation or communication with insurance companies.
Outsourcing eligibility verification offers several benefits, including:
