Posts Tagged ‘Medicare Claims Editing’
Medicare Claims Editing Module Increases Revenue by 25%
When health plans have finalized claims, they don’t want to retroactively fix them. It is vital to a health plan’s success to improve claim accuracy and reduce errors. An IT ecosystem that can integrate easily and exchange data in real-time is essential for health insurance companies to improve claim accuracy. With real-time data, payors can…
Read MoreMedicare Claims Editing Simplified and Streamlined to Save Your Time and Investment
Medicare claims repricing is the application of the contract terms to the billed charges between the hospital or the physician practice and the insurance network. And the bill charges are from the healthcare facility or the physician group. As the “claims” is received, it is sent for adjudication to verify certain claim criteria, and then…
Read MoreHow Medicare Claims Editing Save You from Claims Denials?
When it comes to controlling healthcare costs, and keeping employers and providers satisfied, payers play an important role. They balance these competing objectives through processing of medicare claims as efficiently and precisely as possible. With rising healthcare and profits getting stagnant, payers need to make sure medicare claims processing is flawless. Any errors in claims…
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