Welcome to the second installment of our Expect More From Your Claim Scrubber series! If you missed the first article all about how efficientC differentiates itself from other claim scrubbers on the market, you can find it here. In this article, we’re diving into the importance of working with a claim scrubbing partner who prioritizes denial prevention by focusing on first pass yield.Read More
As a healthcare leader in 2020, your bottom line is largely dependent on your ability to get claims paid accurately and on time—contributing to predictable cash flow and less costly re-work by billing staff. So keep the New Year going strong by taking steps to improve that bottom line.
The first step?
Begin by taking a closer look at your clearinghouse, which is arguably the most important technology in the revenue cycle. It is responsible for transmitting claims to payers, but even more importantly, it should have powerful claim scrubber technology. A clearinghouse that submits inaccurate claims, while touting a high clean claim rate, will create more follow-up work and increase operating costs.
Don’t take your clearinghouse for granted.Read More
Rural hospitals, as defined by their geographic location, have an essential role in our nation’s healthcare system, as well as in the communities they serve. Unfortunately, trends in healthcare reimbursement and factors outside their control have put many of them into difficult financial situations.
In recent years, many of the 60 million Americans living in rural communities have watched helplessly as their only local source of healthcare disappears.Read More
In our previous Revenue Cycle Matters posts, we discussed the importance of clearinghouse and claim scrubber partners as part of an effective revenue cycle management strategy. We also highlighted the benefits of focusing on first pass yield and clearinghouse features that support positive collection outcomes.Read More
Debunking the Clean Claim Rate Fallacy
Benchmarking the effectiveness of a clearinghouse can be done in many ways and most clearinghouses use clean claim rate, as the success criterion making them the best choice for your revenue cycle.Read More
CMS reported almost 100% adoption of rate electronic claim submission in 2016. According to CAQH, The commercial healthcare industry could save over $8 billion annually by fully adopting electronic processes for six of the most common claims-related administrative processes.
Paperless claims have many advantages including quicker detection of errors, faster payment, and lower administrative costs which positively impacts your revenue cycle