Significance of Claim Scrubbing in Medical Billing

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Significance of Claim Scrubbing in Medical Billing
What Is Claim Scrubbing? Claim scrubbing is a
method of reviewing claims before a medical
practice submits them to an insurance carrier.
Claim scrubbing removes all the errors that might
lead to claim denials. In the claim scrubbing
process, the billing team checks the correctness
of the Current Procedural Terminology (CPT) codes
in your claims. This process is significant
because, while describing your services with
five-digit figures is handy, a single incorrect
digit might result in a payer dismissing your
claims. Claim scrubbing can be done either
using third-party tools or manually, where the
billing team crosschecks the details of a filled
claim. This process helps to detect and eliminate
any errors in billing codes, which in turn
reduces the number of rejected claims. Claim
processing speed is often an overlooked factor in
the medical billing process. If claims are
processed quickly, patients, providers, and
insurers can rest easier knowing theyre not
wasting their time or money. Thats why claim
scrubbing plays a vital role in the medical
billing process. Lets dive into this article to
understand the significance of claim scrubbing in
medical billing. Significance of Claim Scrubbing
in Medical Billing
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Significance of Claim Scrubbing in Medical Billing
Claim scrubbing offers many benefits for medical
providers and even for insurance carriers. These
benefits include Error-free claims The prime
benefit of claim scrubbing is it results in more
accurate claims. The more often your claims are
accurate, the fewer denials you face. As a
result, youll encounter fewer obstacles to
getting the reimbursements you need from
insurance carriers. Quicker payments Denied
claims hold up the payment process. With the
claim scrubbing process, youre far more likely
to submit an accurate claim the first time,
enabling insurance carriers to pay you on time.
The result is more revenue and cash flow that
your practice can use to cover its needs. Better
payer relationships For any medical practice,
insurance carriers or payers are the primary
sources of revenue. Claim scrubbing
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Significance of Claim Scrubbing in Medical Billing
leads to a substantial reduction in the number of
erroneous claims you file, creating better
relationships with your payers. Excellent
claim-scrubbing practices can also help you make
a case for yourself when connecting with new
insurers to broaden your network. Thereafter,
more patients are able to choose your
practice. Better patient relationships Frequent
claim denials dont only affect payers. Patients
often get annoyed when claims are denied. Think
about it After going to your doctor, wouldnt
you be irked if you got a bill for services you
expected to be covered? A practice with patients
who regularly experience this problem might not
keep those patients for much longer. As claim
scrubbing lower claim denial rates, your patients
are more likely to receive the coverage they
expect for your services. When you meet the
patients expectations, theyre far more likely
to come back. Between patient retention and your
expedited claims process, your practice is
looking at more revenue more quickly. Reducing
claim rejections Once a physician provides
services, they will need to file a claim to be
paid. Claims can be convoluted and tricky, with a
wide margin for error. A claim scrubbing service
can eliminate errors before claim is ever filed.
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Significance of Claim Scrubbing in Medical Billing
Reducing time spent rectifying claims Claim
submission is a tricky process, and using a claim
scrubber will ensure that you spend as little
time as possible reviewing your claims for
errors. Automated vs. Manual Claim
Scrubbing Claim scrubbing can be done using the
third-party tool as well as manually also. Small
practices generally avoid using automated claim
scrubbing tools as high cost is involved. Bigger
healthcare organizations submitting huge numbers
of claims prefer to go with automated claim
scrubbing tools as automation reduces claim
scrubbing time. Automated tools get updated
regularly so that updates in procedure codes get
reflected in the claim scrubbing
process. Medical Billers and Coders (MBC) is a
leading medical billing company providing
complete medical billing services. We shared this
article on the significance of claim scrubbing in
medical billing for provider education purposes.
Being a leading medical billing company we follow
every revenue cycle management process to ensure
that providers get timely and accurate insurance
reimbursements.
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Significance of Claim Scrubbing in Medical Billing
Our complete medical billing services also
include a manual claim scrubbing process where we
ensure that all submitted claims are checked for
any errors. To know more about our complete
medical billing and coding services, call us
at 888-357-3226 or email us at info_at_medicalbille
rsandcoders.com.