Prevention is better than Cure – Same goes with the claims

Approximately 40% of all medical claims contain errors. With strict insurance guidelines for medical billing and coding and constant changes to billing rules, many of these claims are likely to get rejected. The cycle of submission, rejection, editing, and re-submission can take weeks, often resulting in providers waiting for months before receiving payment for their services. Not only is this significant administrative cost, but also an average of $25 is taken from the practice per claim for corrected claims, re-submissions, paper submissions, appeals & human efforts utilized for these rejected claims. Eventually, we do get paid for some of these claims however, this brings down the practice profitability to approximately 50%.

Hence, prevention is better than the cure for claims as well.

Prevention is Better Than The Cure for Claims

Could your claims use a good cleansing?

With millions of claims being submitted by healthcare organizations each day, it’s inevitable that human or computer processing error can leave claims “with error”. This results in rejected or underpaid claims, negatively affecting your cash flow and bottom line.

Prevention is better than Cure

However, at iPatientCare, we have our customers covered by providing them with the most comprehensive claim/encounter scrubbing tool available in the market today – Alpha II ClaimStaker™. This “Claim Scrubber” add-on service has helped thousands of healthcare providers to identify errors earlier in the encounter workflow prior to claiming submission. Delivering clean claims the first time is vital for running a financially stable healthcare organization!

What Sets iPatientCare Alpha II ClaimStaker Apart?

Not all claim scrubbers are created equally. With ClaimStaker, the edits are robust and our solution is proven to be more accurate and consistent, as it is attested by more than 60,000 providers and clinicians. The expansive features, functions, and configurability available in ClaimStaker, truly differentiates our solution. ClaimStaker is easy to set up and use.Since most edits are configured (enabled or disabled) by the click of a checkbox versus, having to be “built and maintained” as with most other claim editing products.

A Track Record of Superior Customer Service

Our billing specialists are available throughout the implementation process. They can also be called once the add-on service has been implemented to answer questions about ClaimStaker and get assistance if any issues arise. We also maintain a proactive stance with medical regulation changes, ensuring that updates are seamless and of low impact to the clinicians and hospitals that utilize our solutions.

With iPatientCare Alpha II ClaimStaker, physician providers can:

Make sure claims are as accurate as possible before they are submitted to payers.
Make sure claims are
as accurate as possible
before they are
submitted to payers.
Improve staff productivity and enable more focus on patient care.
Improve staff
productivity and
enable more focus
on patient care.
Reduce back-end denials by submitting clean claims up front.
Reduce back-end
denials by submitting
clean claims up front.
Incorporate our comprehensive content database and rules engine.
Incorporate our comprehensive
content database
and rules engine.

About the Author

Vipul, as Sr. Technology Officer at iPatientCare, has been driving constant innovations, research and development, and rethinking of application architecture to meet challenges faced by physicians’ offices and hospitals/health systems. With more a decade of experience, Vipul has been one of the most versatile brains behind iPatientCare product suite. Conceiving an integrated Practice Management application module has been Vipul’s significant contribution to iPatientCare.

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