The Medicare Eligibility Summary Report in Axxess Home Health, powered by Axxess intelligence™, automatically runs eligibility checks for patients with Medicare as their primary insurance. Axxess intelligence™ then compares the new eligibility results to previous results, highlighting significant changes for users with the permission to view this information. The report is sent to the user’s message center and notifies the user of patients who have any of the following events:

• Errors preventing eligibility from being completed

• Episodes overlapping another provider

• A change in primary payer

Axxess intelligence™ automatically sends a Medicare Eligibility Summary Report on the first and 16th of each month to users who have permission to view this information. This report is available on the web and mobile app. Verifying a patient’s eligibility to receive services from an organization is essential to the delivery of care. This report alerts users to patient events that may prevent the receipt of Medicare reimbursement.

This report facilitates compliance with Medicare billing guidelines and streamlines operations by highlighting eligibility issues affecting the billing workflow. Using this report, organizations can optimize cash flow and protect revenue by easily identifying and addressing issues that could result in claim rejection or payment denial.

By enabling users to view insurance eligibility on the date of service and recognize eligibility concerns, this feature streamlines operations and improves billing processes.