7 Essential Steps to Reduce Medical Claim Rejections and Boost Your Healthcare Practice’s Financial Health
In the intricate world of healthcare billing, claim rejections represent a significant barrier to efficient revenue cycle management. These...
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Every question that might be on your mind!
We support the industry-standard format of 837 for claims. If your practice management system (PM) can generate the 837 file and save it to a folder on your computer, we can easily handle that file.
In case your PMS or EHR has custom formats, don’t worry! We can create special modules to import those files. Our goal is to make the process seamless for you.
Additionally, our system generates file acknowledgements (999) and claim acknowledgements (277) files. You can conveniently download these files from our portal or our Windows client connect application and import them into your software.
While we don’t provide direct support for various PMS or EHR systems, we are more than willing to be on a conference call to assist in communicating with your software on our behalf. We can even join training calls with you and your PMS to address any questions related to the claim process. This collaborative approach helps us identify any gaps between our systems, which we can then address through personalized modules or implementing specific rules.
Rest assured, we are here to ensure a smooth integration and provide the necessary assistance throughout the process.
Supercharge your claims with our awesome scrubbing feature! Unlike other clearinghouses, we fix incomplete 837 claims files instead of rejecting them outright. Our system guides you on the missing details and ensures compliance. We then take it up a notch with our tailored scrubbing process. From basic checks to payer-specific evaluations, we catch errors and prevent unnecessary claim rejections. Plus, we offer custom rule creation, specialized modules, and transparent communication, keeping you in the loop with personalized claim edits. Experience a whole new level of efficiency and accuracy with our cutting-edge scrubbing capabilities.
The client will never have any missing claims in our system.
Easily track the status, receipt dates, payer control numbers, and even receive real-time updates when the ERA (835) is available. We’ve simplified the process by translating numeric codes into plain language, so you can quickly identify and resolve any issues.
Take control of your claim workflows with our customizable tools. Create personalized statuses and automate actions, allowing you to handle claim problems with ease. Whether you’re a solo practitioner or part of a larger team, our system ensures seamless collaboration by assigning claims to specific users in your organization.
No more confusion or lost claims – our intuitive interface puts you in the driver’s seat.a
Every PM is different, however wo do create the necessary files that can be imported back to your PMS/EHR system. If the payer returns an 835 (ERA) we return the file exactly as how the payer sent it to us.
If the PM has a way to send additional data about the claim or ERA status, we would be happy to investigate what can be sent and what we can do for more integrations.
The claim search screen will help the user find all the claims that are unattended, and the ERA reports screens will help the users search ERA files directly for any issues and really dig into ERA files. These ERA reports can all be sent to excel as a CSV file, and the translated ERA can be printed to a PDF for easy download. We will create custom reports that are needed for ERA’s or claims. We want the portal to be custom to you and your workflow.
We can create special reports tailored specifically for your practice. These reports will show you important information, called key performance indicators, that help you understand how well your practice is doing.
If we are connected to your EMR/PMS system, we can provide you with even more valuable data that you won’t find in your claims and ERA’s. This means you’ll have access to a deeper level of insights to make informed decisions and improve your practice’s performance.
The clients should think of our system as if it’s their own portal written by their own IT department. We want to help with your own unique problems and difficulties. If you need your own reports we can make that happen! While everything we do will be included in the portal as a whole for all users, we can and will create specific UI modules that are “outside” of the portal that are very unique to the client or PMS system. This could mean the client could browse to an additional web application such as clientname.claimrev.com for their custom tools or for PMS/EHR a new API could be created such as EhrApi.claimrev.com
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We streamline the medical insurance claims process for providers to focus on healing not paperwork.
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