Patient intake & authorisation · Home health & hospice
Admit faster with authorisation already secured.
A referral arrives by fax, but the F2F note is missing and the MA plan needs prior auth. The start-of-care visit stalls while the patient waits.
The reality
Intake is an authorisation race.
Referrals arrive from hospitals and physician offices with the clock already running. Medicare eligibility has to be confirmed in HETS, homebound status and the face-to-face documentation verified, and Medicare Advantage plans demand prior authorisation before the start-of-care visit can even be scheduled.
The operator receives the referral, checks eligibility, gathers the F2F and physician orders, and obtains start-of-care authorisation from the payer — so the SOC visit goes out with coverage already locked.
How the operator runs patient intake & authorisation
Referral REF-3390 · Intake
verifying- Referral source recorded
- HETS eligibility — active
- Payer type — MA plan identified
01Receive the referral
Captures the referral, diagnosis, and referring physician, and confirms Medicare or MA eligibility in HETS.
Documentation · SOC packet
collecting- Physician order received
- Homebound status documented
- F2F encounter note — requested
02Gather the orders
Collects the face-to-face encounter note, signed physician orders, and homebound justification for the SOC.
Authorisation · MA plan
approved- Auth request submitted
- Visit count approved
- SOC scheduled — coverage confirmed
03Secure the auth
Submits the prior authorisation to the MA plan and tracks it through approval before the SOC visit.
The outcome
−55% of intake admin off the team
Admit patients faster with authorisation secured.
- Start-of-care visits go out with coverage already locked
- F2F and physician orders gathered before, not after, admission
- Fewer admissions stalled waiting on payer authorisation
Common questions
Patient intake & authorisation
- What does the Patient intake & authorisation operator do?
- The operator receives the referral, checks eligibility, gathers the F2F and physician orders, and obtains start-of-care authorisation from the payer — so the SOC visit goes out with coverage already locked.
- What impact does the Patient intake & authorisation operator have?
- −55% of intake admin off the team. Admit patients faster with authorisation secured.
- How does the Patient intake & authorisation operator work?
- Captures the referral, diagnosis, and referring physician, and confirms Medicare or MA eligibility in HETS. Collects the face-to-face encounter note, signed physician orders, and homebound justification for the SOC. Submits the prior authorisation to the MA plan and tracks it through approval before the SOC visit.
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