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Review medical records and to ensure that the correct codes and documentation are used for each service.
This involves submitting and following up on insurance claims to ensure payment for services rendered by healthcare providers.
Claims scrubbing services are designed to help healthcare providers and medical billing companies improve the accuracy and efficiency of their medical insurance claims submissions that could lead to deneid claims and reduced payment.
This service includes; Data Verification, Compliance Checks, Code Accuracy and Insurance Benefit Verification.
Handle billing patients co pay, co insurance and deductibles; according to the benefit of the insurance. We also provide assistance with collections when necessary.
Data Entry, Payment reconciliation
Assist with resolving denied insurance claims and appeal the decision if necessary.
Track and following up on outstanding claims and payments to ensure that healthcare providers receive the payments they are owed in a timely manner.
Generating reports and providing insights on payment trends, insurance billing status, and other relevant metrics analysis of financial and operational data.
EDI rejection services can help identify the root cause of the rejection, whether it's a formatting issue, missing data, security issue, or system incompatibility.
Once the cause of the rejection has been identified, EDI rejection services can assist in correcting the issue and resubmitting the EDI message.
EDI rejection services can monitor and track rejections over time, helping organizations identify patterns and trends that may indicate broader issues with their EDI systems.
EDI rejection services can perform root cause analysis to determine why EDI messages are being rejected and recommend solutions to prevent future rejections.
By utilizing EDI rejection services, medical organizations can ensure that their EDI transactions are processed smoothly and efficiently, by reducing the risk of disruptions and delays in business operations.
EDI rejection services can provide liason technical support to help resolve any technical issues with your EDI systems and EMR systems.
Provides short-term administrative, and billing staff support to local organizations on as needed basis.
Provides consumer advocacy services to address and resolve customer issues, collect feedback, and ensure consumer rights are upheld.
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