Claims Edit & Submission
Enjoy Timely Filing of Clean Claims
& Improved Cash Flow
Enjoy Timely Filing of Clean Claims & Improved Cash Flow
Claims Edit & Submission to Optimize Billing
In a dynamic healthcare landscape, timely and clean claim submission is of paramount importance towards achieving revenue objective and ensuring healthy cash flow. At RCM Workshop, claims edit and submission solution is tailored to expedite the process, meticulously review claims data before submitting the claims electronically or manually to the payer. Our comprehensive solution ensures high rate of clean claim submission within 24 hours.
Our team of adept billing experts diligently review claims data, scrub claims if necessary or raise flags for any discrepancies found and finally submit the claims to the payer. For exceptional results, let RCM workshop be your outsourcing partner for your billing needs.
Our Process
Our billing experts thoroughly review claims data related to patient and providers, insurer, the charges, the CPT code and the diagnosis code and medical necessity. They will corrects all the errors found before the submission. This process ensures submission of clean claims and reduces rejection and/or denials. In case of claims rejection by EDI, our claims specialist identifies the error and corrects the claim for resubmission.
We strive to achieve continuous process improvement through a well-defined performance metrics. We monitor and report our process performance using three KPIs.
- Clean claim submission ratio
- Rejection rate
- Turnaround Time – days to submit
BENEFITS
Our Value Propositions
Our Claims Edit & Submission services offer a multitude of benefits to your business improving your revenue cycle and ensuring financial health of your business.
WHY US?
Why partner with us
Our Claims Edit & Submission services is part of our comprehensive Revenue Cycle Management solution and ensures correctness of claims data and timely filing. Our billing experts will work closely with your team and proactively perform the tasks involved with an exceptional turnaround time. We pride ourselves on delivering exceptional results, providing regular updates on our process performance and quality metrics through our partnership. Seize the opportunity to enhance your revenue cycle – partner with us today for exceptional outcomes.