Clean Claim Submissions – Rejections / Edits clearance

Parsing claims data from the revenue cycle system to the clearinghouse and correcting any throwbacks are both steps in the claims submission process. The scrubbing procedure makes it possible to spot incorrect claims and gives medical billers the chance to correct them.

Aspects of the Management of Claims Submission and Rejection Processes

• Batch operation from the clearinghouse system to the RCM system
• Updates the exceptions as necessary.
• Parsing to the Payer Systems and making the necessary changes

Advantages of the Claims Submission and Rejection Management Process at Medsafe

Experts from the Rejection/Edits handling team proactively handle claim rejections to get rid of denials. We provide the following advantages to our clients:

• 24–48 hour turnaround time, increased output, and increased accuracy
• Reduce claim rejections and maximize your reimbursement.
• The documentation of all business regulations
• Daily calls to account support to address any problems
• Costs can be cut by up to 50% by using offshore delivery.

Up to 10% of medical claims have problems with quality, payment, and reconciliation. Any issues with the submission of the claims will be handled by our staff of rejection management. As a result, you may deal with your denials right away and minimize rework on the claim denials.

Benefits when

The following advantages are provided by claims filing – work edits and rejection management teams.

• Costs are reduced by 30–50% thanks to our worldwide delivery methodology.
• By resolving difficulties up front, claim denials can be avoided.
• Reduce the amount of claims that are refused to speed up the accounts payable cycle.
• Obtain greater and faster reimbursement