- Benefits verification & prior Authorization
- Eligibility and Benefits Verification
- Patient Demographics Entry
- Charge Entry
- Medical Coding Services
- Claims Submission Work Edits and Rejection
- Payment Posting Services
- Accounts Receivable Management
- Denial Management Services
- Coding Denial Management
- Credit Balance Services
- Patient Statement Services
Efficient Claims Submission Work Edits and Rejection Management
Claims scrubbing, an integral part of the claims submission process, entails reviewing claim data to ensure accuracy and completeness before submission to payers. Leveraging the functionality embedded within practice management systems, we meticulously examine claim data integrity, identifying and rectifying rejections and work edits prior to submission to insurance payers.
Our Streamlined Work Edits and Rejection Management Process
With as many as 10% of healthcare claims encountering quality, payment, or reconciliation issues, our dedicated work edits and rejection management team adeptly resolves claim problems during submission. This proactive approach allows for upfront resolution of denials, significantly reducing rework associated with claim denials.
Benefits Offered by Our Claims Submission Team
SPECIALIZED BILLING claims submission, work edits, and rejection management teams offer a multitude of benefits:
Cost Reduction: Achieve cost savings of 3050% through our efficient global delivery model.
Denial Prevention: Mitigate claim denials by proactively addressing issues upfront during the submission process.
Accounts Receivable Optimization: Enhance the accounts receivable cycle by minimizing the number of denied claims, leading to improved revenue management.
Quicker Reimbursement: Facilitate higher and faster reimbursement by ensuring streamlined claims submission processes and resolution of issues in a timely manner.