Clinical Support Services

Insurance Eligibility Verification & Authorization Management

Effective management of insurance eligibility verification and authorizations is vital for both the financial health of healthcare providers and the patient experience. Our services in this area include:

Real-Time Eligibility Checks

Utilizing advanced technology to verify patients' insurance coverage in real-time, ensuring that services are covered before they are rendered.

Authorization Management

Streamlining the process of obtaining pre-authorizations for procedures and medications, thereby reducing delays in patient care.

Financial Clearance Services

Providing patients and healthcare providers with clear information about coverage, co-pays, and deductibles upfront to prevent billing surprises and enhance patient satisfaction.

Clinical Documentation Improvement Program

Accurate and comprehensive clinical documentation is the cornerstone of high-quality patient care
and optimized reimbursement. Our clinical documentation improvement (CDI) programs focus on:

Enhancing Documentation Quality

Working with healthcare providers to capture complete and accurate documentation of patient care, ensuring it reflects the scope and complexity of services provided.

Education and Training

Offering ongoing education and training for physicians and clinical staff on best practices in documentation, coding standards, and regulatory requirements.

Health Information Management Management

Our health information management (HIM) services are designed to ensure the integrity, confidentiality, and accessibility of patient health information. Key aspects include:

Comprehensive Data Management

Overseeing the collection, storage, retrieval, and analysis of health information in a way that supports patient care, privacy, and security requirements.

EHR Optimization

Enhancing the use of electronic health records (EHR) systems to improve data quality and ease of access, facilitating better clinical decision-making and patient outcomes.

Regulatory Compliance

Ensuring that all health information management practices comply with relevant laws and regulations, including HIPAA, to protect patient information and avoid penalties.

At Solaris Support Solutions, we understand the critical role that clinical support services play in the success and efficiency of healthcare organizations. Our comprehensive suite of services is designed to optimize clinical workflows, improve patient care, and ensure regulatory compliance. By leveraging our skilled remote staff and cutting-edge technology, we provide support in key areas such as insurance eligibility verification, clinical documentation improvement, and health information management.