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Patient Access

Patient Access Solutions - GAFFEY provides a complete suite of technology solutions for hospitals at the point of registration.  Focusing on the beginning of the Revenue Cycle often yields the greatest impact in stemming revenue attrition, and GAFFEY's Benefits Verification and integrated workflow technology gives hospitals their greatest chance at eliminating revenue loss at the onset of point-of-service. 

GAFFEY Eligibility and Benefits Verification- GAFFEY uses real-time EDI technology to ensure that each patient's benefits information is verified.  Integrated within the hospital's existing registration system, GAFFEY's solution increases efficiency, improves patient registration time, eliminates human error, and creates a workflow for proper insurance handling at the point of registration.  GAFFEY Eligibility can also be deployed as a web-based portal for access for hospital staff outside of patient registration. 

In addition, GAFFEY utilizes Eligibility Verification during the billing process, prior to claim submission, for a second level of benefits verification and reporting.  

Each GAFFEY Eligibility transaction generates easy-to-read Explanation of Benefits (EOB) reports that are secure, time-stamped, and reportable for auditing purposes. 

GAFFEY Advance Beneficiary Notification (GAFFEY ABN) is a web-based Medicare Medical Necessity solution.  Using hospital charge master data and cross-checking against important NCD and LCD guidelines, GAFFEY's solution ensures Medicare compliance across hospital departments.  ABN notices are generated real-time for hard-copy or e-signature using signature pad technology. 

GAFFEY Patient Estimator is a point-of-service collections tool that improves collections early in the revenue cycle by helping registrars estimate patient financial responsibility and know when a patient has a co-pay or co-insurance.  By pulling payor contract data and comparing it to patient benefits, GAFFEY Patient Estimator allows staff to provide reliable price estimates to patients in real-time.  Improve patient-provider relationships with cost transparency, reduce self-pay bad debt and increase collection rates on an oftentimes elusive revenue source.  Used in conjunction with GAFFEY Eligibility & Benefits Verification, streamline patient access processes and drastically reduce the potential for errors that can lead to downstream claim denials.

Key Benefits:

  • Eliminate potential for lost revenue at onset of point-of-service.
  • Increases efficiency, improves patient registration time, eliminates human error, and creates a workflow for proper insurance handling at the point of registration.  
  • Ensures Medicare compliance across hospital departments