How to Achieve Highest Clean Claim Rate?

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• How to Achieve Highest Clean Claim Rate?

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Impacts of COVID-19 on Healthcare revenue cycle
Do you have any idea about your practices clean
claim submission rate? If you dont know then you
need to know and if its not highest means if
its not at least above 90 to 95 then you need
to work on it. We at Medisys help practices to
achieve highest clean claim. Rejections in
claims are costly as you are losing revenue and
furthering expenses by having to rework on those
rejected claims. Some practices have a clean
claim submission rate between 80 and 85, it
means somewhere these practices 15-20 claims
submitted each month have to be reworked on twice
minimum. Now you may thinking how we can cross
90 clean claim submission rate? We have
suggested some solutions on it. Updated Patient
Information If you have patient information and
that information is not updated or incorrect then
you may have chances to use wrong information
while submitting claims. Contact information,
insurance carrier and lot of patient information
can change. With inaccurate patient information
being a lead cause of denied claims, its crucial
to have patient confirm or update their current
information prior to receiving services. Use
precise documentation to avoid delays and to
verify patient information in advance.
Medical Billing Services in Oregon
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Impacts of COVID-19 on Healthcare revenue cycle
Eligibility Verification prior to Date of
Service Physicians staff may assume that no
changes in patient information who visit a
provider frequently. However, this is the often
cause of denial. To submit clean claim you need
to collect and confirm patients primary,
secondary and even tertiary insurance at least
two to three days prior to their scheduled
service. Its important to confirm any in or out
of network benefits, copays or deductibles as
well. Detailed documentation of medical
information The other way to help boost your
clean claims rate is to confirm you have the most
updated and detailed medical information
possible. This consist proper documentation of
procedures, case history, medication history and
other similar information. These documents are
useful to use as supplemental records to process
clean claims if needed. Double check
modifiers Its important to reconfirm of modifier
usage either they are applied correctly and to
the right procedure. This can be another way to
help ensure this is done efficiently is to create
guideline of customized National Correct Coding
Initiative (NCCI) edits for reference. Read more
about modifier usage Steps to Follow Before
Choosing Modifier 59
Medical Billing Services in Oregon
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Impacts of COVID-19 on Healthcare revenue cycle
If your practice has highest clean claims then
the result is faster reimbursements and
ultimately more revenue. This information will
help you to keep highest clean claim submission
rate in your practice. Are you looking
professional assistance for getting your clean
claims rate up? Contact Medisys today and our
expert medical billing team will help you to
boost your practice collections. About
Medisys We are a group of medical billing experts
who offer comprehensive billing and coding
services to doctors, physicians hospitals. We
provide end to end billing and coding solutions.
Medisys Data Solutions RCM solutions ensures that
the providers recover every they are entitled
to. Our vision for the providers is You Cure. We
ecure.
Medical Billing Services in Oregon